# EDEN WHEELER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669422473
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 04-25286 | KS | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 105924 | MO | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 06/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 104046 | BC/BS OF KS | — |
| 01 | — | 2135088 | BC/BS OF KC | — |
| 01 | — | 222843 | COVENTRY | — |
| 01 | — | 48-1225035 | AETNA | — |
| 01 | — | 481225035 | CIGNA | — |
| 01 | — | P00226196 | RAILROAD MEDICARE PIN | KS |