Individual
MR. KEN I HEDEGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(785) 273-5011
Mailing address
3732 SW SUMMERFIELD DR, TOPEKA, KS 66610-1246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-10737
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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