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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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