Individual
MS. LORETTA J HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9800 TROUP AVENUE, KANSAS CITY, KS 66111-1870
(913) 297-7472
(913) 788-5878
Mailing address
9800 TROUP AVENUE, KANSAS CITY, KS 66111-1870
(913) 297-7472
(913) 788-5878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01231
KS
Other
Enumeration date
09/04/2007
Last updated
06/01/2021
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