Individual
JEFFREY ARDEN HEYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
106 W 4TH ST, SCOTT CITY, KS 67871-1108
(620) 872-2020
Mailing address
PO BOX 108, SCOTT CITY, KS 67871-0108
(620) 872-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1451-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363590A
—
KS
Enumeration date
03/31/2006
Last updated
07/01/2010
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