Individual
ERIC KYNE HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 LAUREL ST, SUITE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Mailing address
450 LAUREL ST, SUITE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
072439
IA
363AS0400X
Surgical Physician Assistant
Primary
072439
IA
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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