Individual
DR. ABIGAIL S HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2622 W CENTRAL AVE, WICHITA, KS 67203-4969
(316) 858-1111
Mailing address
2622 W CENTRAL AVE, WICHITA, KS 67203-4969
(316) 858-1111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0431050
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401880A
—
KS
Enumeration date
07/04/2006
Last updated
05/20/2015
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