Wilson, Heather Lynn

Wilson, Heather Lynn is an individual health care provider with primary practice located at 4123 Dutchmans Ln Ste 500 , Louisville KY 40207-4730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Wilson, Heather Lynn can be contacted via phone (502) 894-9494.

Contact Information

Primary practice address
4123 Dutchmans Ln Ste 500 Louisville KY 40207-4730
Phone: (502) 894-9494
Fax: (502) 894-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 38951 Kentucky

Profile Details

NPI number 1013971431
LBN Legal business name Wilson, Heather Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 24th, 2019 - about 7 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 1013971431 NPPES
Kentucky MEDICAID 6408377
Kentucky Other P00983047

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