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Organization
MID KANSAS FAMILY PRACTICE PA
Active
Organization
MID KANSAS FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEV A HEIM (OFFICE MANAGER)
(620) 327-2440
Entity
Organization
Contact information
Practice address
705 E RANDALL, HESSTON, KS 67062
(620) 327-2440
(620) 327-2062
Mailing address
705 E RANDALL, PO BOX 609, HESSTON, KS 67062
(620) 327-2440
(620) 327-2062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420710
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100411140A
—
KS
Enumeration date
06/26/2006
Last updated
06/01/2011
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