Organization
HIEBERT CENTER, LLC
Active
Other names
John M. Hiebert, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M HIEBERT MD (OWNER/SOLE PROPRIETOR)
(816) 941-6226
Entity
Organization
Contact information
Practice address
4620 J C NICHOLS PKWY STE 505, KANSAS CITY, MO 64112-1609
(816) 941-6226
(816) 941-6336
Mailing address
4620 J C NICHOLS PKWY STE 505, KANSAS CITY, MO 64112-1609
(816) 941-6226
(816) 941-6336
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10-7537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177690A
—
KS
05
—
201506813
—
MO
Enumeration date
08/30/2007
Last updated
06/08/2009
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