Individual
KIM C HEISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
620 E. WOOD, CLEARWATER, KS 67026-9757
(620) 584-4542
Mailing address
13303 SW 210TH, DOUGLASS, KS 67039
(316) 747-2859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01565
KS
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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