| Nathan Kyle Heady, PA-C | |
|
7211 Us 45 S, Carrier Mills, IL 62917-1305 | |
| (833) 209-0498 | |
| (618) 724-4628 |
| Full Name | Nathan Kyle Heady |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7211 Us 45 S, Carrier Mills, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861901530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC654 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | 085006959 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Kyle Heady, PA-C Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Nathan Kyle Heady, PA-C 7211 Us 45 S, Carrier Mills, IL 62917-1305 Ph: (833) 209-0498 |
Jennifer Elaine Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7211 Us 45 S, Carrier Mills, IL 62917 Phone: 618-294-8246 Fax: 618-294-8247 | |
Katrina L Tripp, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7211 Us 45 S, Carrier Mills, IL 62917 Phone: 618-209-0498 Fax: 618-724-4628 |