Individual
EMILY NICOLE HERONEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 843-9125
(785) 505-5312
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 60444
(785) 843-9125
(785) 505-5312
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
05-39711
KS
Other
Enumeration date
06/13/2014
Last updated
09/05/2024
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