Individual
MRS. KATHRYN A HEINEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP C MSN
Contact information
Practice address
323 SECOND ST, WETMORE, KS 66550-0249
(785) 866-4775
(785) 866-4204
Mailing address
PO BOX 249, WETMORE, KS 66550-0249
(785) 866-4775
(785) 866-4204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44812
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161296
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/20/2005
Last updated
07/08/2007
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