Individual
DR. KYLE B HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4016 DALE RD, MODESTO, CA 95356-9268
(209) 571-0288
(209) 571-0327
Mailing address
4016 DALE RD, MODESTO, CA 95356-9268
(209) 571-0288
(209) 338-6156
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G83786
CA
208VP0014X
Interventional Pain Medicine Physician
G83786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11628489
CAQH
CA
Enumeration date
08/11/2006
Last updated
05/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us