| Doctor Name: | JOHN H HEINZ |
| NPI Number: | 1497887566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1081753 |
| Business Practice Address: | 257 Parkland Hts Cynthiana, KY - 410316017 |
| Business Phone Number: | 8592531686 |
| Business Fax Number: | 8592542743 |
| Mailing Address: | 1351 Newtown Pike, LEXINGTON |
| State: | KY |
| Postal Code: | 405111217 |
| Phone Number: | 8592531686 |
| Fax Number: | 8592542743 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 1081753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |