Individual
MR. KENT HEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7550 WEST VILLAGE CIRCLE, SUITE 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Mailing address
7550 WEST VILLAGE CIRCLE, SUITE 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
04-29643
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424160A
—
KS
Enumeration date
01/19/2006
Last updated
11/19/2009
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