Individual
TAMMY L HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2538 S. 65TH ST., KANSAS CITY, KS 66106-5415
(913) 375-1431
Mailing address
2538 S. 65TH ST., KANSAS CITY, KS 66106-5415
(913) 375-1431
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17-01439
KS
171W00000X
Contractor
2001026998
MO
Other
Enumeration date
05/08/2007
Last updated
09/11/2007
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