Kimberly Sue Heacock Valid NPI

Individual provider · Early Intervention Provider Agency · Bunker Hill, WV

NPI

1417775404

Type

Individual (Type 1)

Primary specialty

Early Intervention Provider Agency

Specialty group

Agencies

Taxonomy code

252Y00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2024-09-30

Last updated

2024-09-30