Most Relevant Information
Provider Data
| NPI Number: | 1003046939 |
| Provider Name: | KATHI KAE HECKERT CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | CP000555 |
Most Important Dates
| Enumeration Date: | 07/27/2009 |
| Last Updated: | 05/11/2017 |
Provider Practice Location
116 E 11TH ST
STE 101
SPENCER
IA
513014300
Practice Location Phone/Fax
| Phone: | 7122643500 |
| Fax: | 7122643535 |
Provider Mailing Location
116 E 11TH ST
STE 101
SPENCER
IA
513014300
Provider Mailing Phone/Fax
| Phone: | 7122643500 |
| Fax: | 7122643535 |