Individual
JAMES KENNETH HECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4629 S EASTLAND CENTER DR # AT1528, INDEPENDENCE, MO 64055-7830
(816) 820-9489
Mailing address
312 SW GREENWICH DR # 224, LEES SUMMIT, MO 64082-4408
(816) 820-9489
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B112063011
MO
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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