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NPI Code Detail

MEDICARE: MRS. HEATHER COLUMBIA-KINNEY APRN

MEDICARE: MRS. HEATHER COLUMBIA-KINNEY 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
1163W00000XRegistered Nurse307867OH
2363LF0000XFamily Nurse PractitionerF1114044OH
3363L00000XNurse Practitioner3018713KY

General Provider Information

NPI Number : 1871971424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER COLUMBIA-KINNEY APRN
Provider Business Mailing Address
First Line : 3101 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 GRAND AVE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2570
Country : US
Telephone Number : 859-781-2210
Fax Number : 859-781-0289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 01/12/2026

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