Individual
ERIC ANTHONY HEIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160-5389
(913) 588-1847
(913) 945-5062
Mailing address
3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160-8500
(913) 588-1847
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
05/09/2022
Last updated
06/26/2023
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