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NPI Code Detail

MEDICARE: HEATHER KNIPP HELPHINSTINE APRN

MEDICARE: HEATHER KNIPP HELPHINSTINE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician3011549KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11132438OTHERKYKY STATE LICENSE

General Provider Information

NPI Number : 1316460306
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER KNIPP HELPHINSTINE APRN
Provider Business Mailing Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number :
Provider Business Practice Location Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2017
Last Update Date : 07/21/2022

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1144789678 — LEVITA J LARSON
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