Individual
CASEY PATRICK HERTZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9418
(913) 632-9447
Mailing address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9418
(913) 632-9447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-07038
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-36350
KS
Other
Enumeration date
06/12/2008
Last updated
06/14/2022
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