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Kristina Mae Heafner, D.C.

Chiropractor in Shiloh, IL. Individual provider (NPI-1).

NPI number1477092542
StatusActive
Last updated in NPPESJul 20, 2022

Details

NPI
1477092542
Entity type
Individual (NPI-1)
Name
Kristina Mae Heafner
Credential
D.C.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2017
Certification date
Jul 20, 2022
Last updated
Jul 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor038013054ILYes

Practice location

1231 Thouvenot Ln Ste 100
Shiloh, IL 62269-7203

Phone 618-234-8300 · Fax 618-234-8295

Mailing address

1231 Thouvenot Ln Ste 100
Shiloh, IL 62269-7203

Phone 618-234-8300

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