KEVIN T HEATON DO PC
Medical Practice at Bryant Williams Dr, Klamath Falls, OR

License number
Oregon DO22887
Category
Medical Practice
Type
Specialist
Owner
Name: JEANNETTE L GANSBERG
Title: EXECUTIVE DIRECTOR
Phone: (541) 274-2902
Address
Address
2200 Bryant Williams Dr SUITE 1, Klamath Falls, OR 97601
National Provider ID: 1073733671
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN T. HEATON D.O., PC

Klamath Falls, OR

Doing business as:
Kevin T Heaton PC
Registration:
Aug 14, 2002
Phone:
(541) 884-7748 (Phone), (800) 515-1655 (Free)
Addresses:
2200 Bryant Williams Dr Ste 1 STE 1, Klamath Falls, OR 97601 (Mailing)
2200 Bryant Williams Dr STE 1, Klamath Falls, OR 97601 (Physical)
State ID:
9773292
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Kevin Theaton,2200 Bryant Williams Dr STE 1, Klamath Falls, OR 97601 (Physical)
Categories:
Orthopedics Physicians & Surgeons, Physicians & Surgeons

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