Individual
MRS. HEATHER RENEE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1295 E 151ST ST STE 7, OLATHE, KS 66062-3429
(913) 381-0622
(913) 254-1120
Mailing address
2790 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3276
(816) 474-9353
(816) 474-3627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45915
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295867158
NPI
KS
Enumeration date
03/09/2007
Last updated
11/15/2012
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