Kevin T Heaton Do Pc

LBN: Kevin T Heaton Do Pc
Kevin T Heaton Do Pc is an health care organization with primary practice located at 2200 Bryant Williams Dr Suite 1, Klamath Falls OR 97601-1120. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kevin T Heaton Do Pc can be contacted via phone (541) 884-7746, or through Gansberg, Jeannette L via phone (541) 274-2902.

Contact Information

Primary practice address
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1120
Phone: (541) 884-7746
Fax: (541) 884-0848
Website:
Map and Directions
Authorized official contact:
Name: Gansberg, Jeannette L
Phone: (541) 274-2902

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DO22887 Oregon

Profile Details

NPI number 1073733671
LBN Legal business name Kevin T Heaton Do Pc
DBA Doing business as
Authorized official Gansberg, Jeannette L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073733671 NPPES
Oregon MEDICAID 287483
Oregon Other XPY195175
Oregon Other DG2430
Oregon Other 4604977397601
Oregon Other 831170000

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