| Doctor Name: | KATHLEEN M HECKEL |
| NPI Number: | 1780918037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | TAP3460 |
| Business Practice Address: | 13175 E State Route 169 Dewey, AZ - 863277416 |
| Business Phone Number: | 9286321155 |
| Business Fax Number: | 9286328295 |
| Mailing Address: | 13175 E State Route 169, DEWEY |
| State: | AZ |
| Postal Code: | 863277416 |
| Phone Number: | 9286321155 |
| Fax Number: | 9286328295 |
| NPI Enumeration Date: | 09/18/2009 |
| NPI Last Update Date: | 01/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TAP3460 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |