Individual
JOHN HEILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12002 W 101ST ST, LENEXA, KS 66215-1962
(913) 492-2840
(888) 824-0616
Mailing address
12002 W 101ST ST, LENEXA, KS 66215-1962
(913) 492-2840
(888) 824-0616
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
200971880A
KS
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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