NPI 1003057951

Kacy Yevonne Head, PA

Practitioner Physician Assistant Danville, IN

Practice location

Address: 100 Hospital Ln Suite 105, Danville, IN 46122-1989
Phone: (317) 745-3747
Fax: (317) 745-3748
Mailing address: 679 E County Line Rd, Greenwood, IN 46143-1049

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10001167A (IN)

Other Physician Assistant providers in Indiana →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Indiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA06217 (TX)

Registry record

NPI: 1003057951
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2009
Record last updated: 3 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.