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Individual

DR. HEIDI S CHUMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1059B DELP PAVILION, MAIL STOP 4010, KANSAS CITY, KS 66160
(913) 588-1908
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4010, KANSAS CITY, KS 66160
(913) 588-1908

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-30811
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200269780A
KS
05
208394304
MO
01
34448016
BCBS KANSAS CITY
MO
01
P00193406
RR MEDICARE
Enumeration date
10/04/2006
Last updated
01/24/2012
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