Kevin A Heintzelman in Jackson - Internal Medicine

Kevin A Heintzelman - NPI 1184701344

Kevin A Heintzelman is a Internal Medicine in Jackson, Mississippi. Kevin A Heintzelman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin A Heintzelman is 1184701344. The last update date is 2013-06-06.

Kevin A Heintzelman's current location address is 1200 N State St, Jackson, Mississippi. You can contact this provider via phone number 6013522273 and fax number 6017143415. The mailing address for Kevin A Heintzelman is 1200 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin A Heintzelman
Address 1200 N State St, Jackson, Mississippi
Phone Number 6013522273
Fax Number 6017143415
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1184701344
Provider Enumeration Date 2006-11-01
Last Updated Date 2013-06-06

Provider Mailing Address Detail

Address 1200 N State St
City Jackson
State Mississippi (MS)
Post Code 392022001
Phone Number 6013522273
Fax Number 6017143415

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 224633
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2272493 NY --
3658704 MS --

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FAQs about Kevin A Heintzelman

What is the Kevin A Heintzelman's unique identification number?

The Kevin A Heintzelman has been assigned the NPI (National Provider Identifier) Number 1184701344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kevin A Heintzelman's facilities are geographically located?

The facilities of Kevin A Heintzelman are physically situated at the following location: 1200 N State St, Jackson, MS, 392022001.

What is the Kevin A Heintzelman's specialty and taxonomy code?

The Kevin A Heintzelman's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did Kevin A Heintzelman receive its 1184701344 assignment from the Centers for Medicare & Medicaid Services?

The Kevin A Heintzelman was assigned its 1184701344 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kevin A Heintzelman most recently updated or refreshed?

The details pertaining to the Kevin A Heintzelman, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-06-06.

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