Heagerty, Kristyn Emily

Heagerty, Kristyn Emily is an individual health care provider with primary practice located at 2999 Mcmackin Rd , Madison OH 44057-2330. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Heagerty, Kristyn Emily can be contacted via phone (440) 428-1111.

Contact Information

Primary practice address
2999 Mcmackin Rd Madison OH 44057-2330
Phone: (440) 428-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50.004808RX Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.004808RX Ohio

Profile Details

NPI number 1972057396
LBN Legal business name Heagerty, Kristyn Emily
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Jun 6th, 2022 - about 4 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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