Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY SUE HEACOCK
Active Sole ProprietorMRS. KIMBERLY SUE HEACOCK is a Early Intervention Provider Agency healthcare provider located in BUNKER HILL, West Virginia. NPI 1417775404 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · BUNKER HILL, WV
Registration Details
- NPI Number
- 1417775404
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2024 (1.9177145120756 yrs)
- Last Updated
- Sep 30, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2002 GOLDMILLER RDBUNKER HILL, WV, 254133571Browse WV providers · Browse ZIP 25413
- Phone
- 3045967792
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.