Heine, Kevin J

Heine, Kevin J is an individual health care provider with primary practice located at 3950 Kresge Way Ste 207, Louisville KY 40207-4637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Heine, Kevin J can be contacted via phone (502) 893-0220.

Contact Information

Primary practice address
3950 Kresge Way Ste 207 Louisville KY 40207-4637
Fax: (502) 893-0563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 24687 Kentucky

Profile Details

NPI number 1619974292
LBN Legal business name Heine, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619974292 NPPES
Kentucky MEDICAID 64246879

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