NATHAN KYLE HEADY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006959

License Status

ACTIVE

Business

First Name

NATHAN

Middle

KYLE

Last Name

HEADY

Business Name

NATHAN KYLE HEADY

Original Issue Date

03/05/2019

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

FORT CAMPBELL

State

Zip

42223

Ever Disciplined

LastModifiedDate

02/22/2026