Individual
HEATHER A POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
318 WEST HIGH STREET, MOUNT STERLING, KY 40353-9339
(859) 498-8647
Mailing address
406 HARNEY DR, WINCHESTER, KY 40391-9738
(859) 744-1126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-R2978
KY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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