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Search › West Virginia › Early Intervention Provider Agency

Kimberly Heacock

NPI 1417775404 · on the registry since 2024 · sole proprietor

Practice

Address
2002 Goldmiller Rd
Bunker Hill, WV 25413
Phone
(304) 596-7792

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-30
Status
Not present in the most recent federal file

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 West Virginia