Individual
HEIDI LOUISE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9119 W 74TH ST, SUITE 300, SHAWNEE MISSION, KS 66204-2236
(913) 677-3113
(913) 677-4514
Mailing address
PO BOX 26604, KANSAS CITY, MO 64196-6604
(913) 677-3113
(913) 677-4514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00569
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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