Doctor Name: | HEATHER A POOLE |
NPI Number: | 1962612689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL |
License Number: | KY-R2978 |
Business Practice Address: | 318 West High Street Mount Sterling, KY - 403539339 |
Business Phone Number: | 8594988647 |
Business Fax Number: | |
Mailing Address: | 406 Harney Dr, WINCHESTER |
State: | KY |
Postal Code: | 403919738 |
Phone Number: | 8597441126 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | KY-R2978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |