Heacock, Kevin Floyd
Heacock, Kevin Floyd is an sole proprietor health care provider with primary practice located at 2510 Fifth St., Bldg 840 Rm W106D, Wright-Patterson Afb OH 45433-7913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Heacock, Kevin Floyd can be contacted via phone (937) 938-2702.Contact Information
Primary practice address
2510 Fifth St., Bldg 840 Rm W106D
Wright-Patterson Afb OH 45433-7913
Phone: (937) 938-2702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D65268 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25951 | Nebraska |
Profile Details
| NPI number | 1871665257 |
|---|---|
| LBN Legal business name | Heacock, Kevin Floyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Apr 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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