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NPI Code Detail

MEDICARE: COURTNEY MCKENNA HELLER PA-C

MEDICARE: COURTNEY MCKENNA HELLER PA-C
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
1363A00000XPhysician AssistantOH

General Provider Information

NPI Number : 1720917545
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MCKENNA HELLER PA-C
Provider Business Mailing Address
First Line : 118 OLD ORCHARD DR
Second Line :
City : HUDSON
State : OH
Zip : 44236-2935
Country : US
Telephone Number : 330-931-8719
Fax Number :
Provider Business Practice Location Address
First Line : 2550 LANDER RD
Second Line :
City : PEPPER PIKE
State : OH
Zip : 44124-4318
Country : US
Telephone Number : 440-449-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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