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Contact Information

KACEY L HECKATHORN, RN, BSN, IBCLC
9925 MORGANTOWN RD
NEWBURG, MD20664-2318
 Phone: 240-320-4202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for KACEY L HECKATHORN · (Female)

NPI # 1871371336
Status Active
Credentials RN, BSN, IBCLC
Entity Individual
Enumeration date 09/18/2023
Last updated 09/18/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # L-309407
  • MD License # R232561
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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