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Kelly Heenan, PHD

NPI 1093938839 · on the registry since 2007 · sole proprietor

Practice

Address
3741 Arroyo Drive
Casper, WY 82604
Phone
(307) 472-2995

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YP2500X
101YP2500X
106H00000X
Licence states on file
TX, WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming