Individual
DR. KANDI KAY HEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
565 N BRISTOL CT, WICHITA, KS 67206-4327
(402) 659-5773
Mailing address
565 N BRISTOL CT, WICHITA, KS 67206-4327
(402) 659-5773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115555
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KS1-15555
KANSAS STATE BOARD OF PHARMACY
KS
Enumeration date
09/25/2011
Last updated
09/25/2011
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