NPI 1134498132

Kelli Nicole Heer, PAC

Practitioner Surgical Physician Assistant Dothan, AL

Practice location

Address: 106 Westside Dr, Dothan, AL 36303-1908
Phone: (877) 231-3376
Fax: (850) 522-8354
Mailing address: 2505 Harrison Ave, Panama City, FL 32405-4464

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA 803 (AL)

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Registry record

NPI: 1134498132
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2011
Record last updated: 12 Oct 2020

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.