Individual
MRS. KIMBERLY L HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Mailing address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1500674
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100364290E
—
KS
Enumeration date
11/30/2005
Last updated
09/12/2011
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