Healthcare Provider Details

I. General information

NPI: 1720054208
Provider Name (Legal Business Name): LINDSAY KAY HEPLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 EAST BROAD STREET SUITE 2
RIMERSBURG PA
16248
US

IV. Provider business mailing address

121 DOCTORS LN
CLARION PA
16214-8515
US

V. Phone/Fax

Practice location:
  • Phone: 814-473-3191
  • Fax: 814-473-2250
Mailing address:
  • Phone: 814-226-3470
  • Fax: 814-226-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA000438L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: