Organization
PREFERRED MEDICAL ASSOCIATES
Active
Other names
VCMA Epilepsy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization
Contact information
Practice address
848 N SAINT FRANCIS ST, STE. 3901, WICHITA, KS 67214-3800
(316) 268-8500
(316) 291-7993
Mailing address
848 N SAINT FRANCIS ST, STE. 3901, WICHITA, KS 67214-3800
(316) 268-8500
(316) 291-7993
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
04-34435
KS
2084N0600X
Clinical Neurophysiology Physician
04-34435
KS
363L00000X
Nurse Practitioner
44097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087990D
—
KS
05
—
100723300C
—
OK
Enumeration date
09/22/2009
Last updated
11/10/2010
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