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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN FLOYD HEACOCK, M.D.

Active Sole Proprietor

DR. KEVIN FLOYD HEACOCK, M.D. is a Psychiatry healthcare provider located in WRIGHT-PATTERSON AFB, Ohio. NPI 1871665257 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · WRIGHT-PATTERSON AFB, OH

Registration Details

NPI Number
1871665257
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2006 (19.766064559753 yrs)
Last Updated
Apr 26, 2018
Licenses
D65268 (MD)
25951 (NE)
Sole Proprietor
Yes

Practice Information

Address
2510 FIFTH ST., BLDG 840
RM W106D
WRIGHT-PATTERSON AFB, OH, 454337913
Browse OH providers · Browse ZIP 45433
Phone
9379382702
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in WRIGHT-PATTERSON AFB, OH

Name Credential NPI
DR. TERRY LEE CORRELL D.O. 1821162587
JENNIFER LYNNE LANDUCCI M.D. 1427367366
LAURA VIRGO MD 1669979944
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.