Kmiecik, Heather

Kmiecik, Heather is an individual health care provider with primary practice located at 875 Joliet St , Dyer IN 46311-1920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kmiecik, Heather can be contacted via phone (219) 440-7340.

Contact Information

Primary practice address
875 Joliet St Dyer IN 46311-1920
Phone: (219) 440-7340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019918 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009730A Indiana

Profile Details

NPI number 1508405853
LBN Legal business name Kmiecik, Heather
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2020
Last updated Mar 11th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508405853 NPPES
Indiana MEDICAID 300035005

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