Organization
PREFERRED MEDICAL ASSOCIATES
Active
Other names
VCMA Immed Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization
Contact information
Practice address
8444 W 21ST STREET, STE B, WICHITA, KS 67205-1752
(316) 721-9500
(316) 721-9574
Mailing address
8444 W 21ST STREET, STE B, WICHITA, KS 67205-1752
(316) 721-9500
(316) 721-9574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087990C
—
KS
Enumeration date
03/26/2009
Last updated
07/14/2010
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