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NATHAN KYLE HEADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7211 US 45 S, CARRIER MILLS, IL 62917-1305
(833) 209-0498
(618) 724-4628
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
(618) 724-4628

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006959
IL
363A00000X
Physician Assistant
TC654
KY

Other

Enumeration date
09/26/2017
Last updated
02/05/2024
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