Individual
EDEN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9233 WARD PKWY, SUITE 362, KANSAS CITY, MO 64114-3366
(816) 442-7141
(816) 442-7143
Mailing address
9233 WARD PKWY, SUITE 362, KANSAS CITY, MO 64114-3366
(816) 442-7141
(816) 442-7143
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-25286
KS
208100000X
Physical Medicine & Rehabilitation Physician
105924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104046
BC/BS OF KS
—
01
—
2135088
BC/BS OF KC
—
01
—
222843
COVENTRY
—
01
—
48-1225035
AETNA
—
01
—
481225035
CIGNA
—
01
—
P00226196
RAILROAD MEDICARE PIN
KS
Enumeration date
05/11/2006
Last updated
06/13/2014
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