Provider Demographics
NPI:1760178693
Name:KROME, HEATHER GRACE (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:GRACE
Last Name:KROME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AMBULATORY CARE BUILDING 550 S. JACKSON ST.
Mailing Address - Street 2:3RD FLOOR, #A3K00
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AMBULATORY CARE BUILDING 550 S. JACKSON ST.,
Practice Address - Street 2:3RD FLOOR, #A3K00
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program