Individual
KAYLA M HEIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7501 S 27TH ST STE 100, LINCOLN, NE 68512-4802
(402) 481-6343
Mailing address
PO BOX 860876, MINNEAPOLIS, MN 55486-0876
(402) 483-8590
(402) 483-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69707
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
10/27/2024
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