Organization
PREFERRED MEDICAL ASSOCIATES
Active
Organization
PREFERRED MEDICAL ASSOCIATES
Active
Parent organization
PREFERRED MEDICAL ASSOCIATES
Other names
VCMA Peds Neuro
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED MEDICAL ASSOCIATES
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization
Contact information
Practice address
848 N SAINT FRANCIS ST, STE. 3949, WICHITA, KS 67214-3800
(316) 268-8040
(316) 291-4880
Mailing address
848 N SAINT FRANCIS ST, STE. 3949, WICHITA, KS 67214-3800
(316) 268-8040
(316) 291-4880
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100723300D
—
OK
05
—
PENDING
—
KS
Enumeration date
05/22/2009
Last updated
07/14/2010
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