Heather Koren Wyatt

NPI #1093366858 in Madisonville, Kentucky

Provider Information

NPI Number: 1093366858
Entity Type: Individual
Name: Heather Koren Wyatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 200 CLINIC DR
City: Madisonville
State: Kentucky
ZIP Code: 42431-1661
Phone: (270) 821-8874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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