Individual
JOSE L AGUILERA HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 NE SAINT LUKES BLVD STE 240, LEES SUMMIT, MO 64086-6019
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0449403
KS
207RC0000X
Cardiovascular Disease Physician
2024011359
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
0449403
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2024011359
MO
Other
Enumeration date
06/23/2016
Last updated
06/25/2025
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