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Individual

MRS. LEE ANNE HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
21107 DONAHOO RD, TONGANOXIE, KS 66086-4153
(913) 742-4084
(913) 742-4086
Mailing address
21107 DONAHOO RD, PO BOX 996, TONGANOXIE, KS 66086-4153
(913) 742-4084
(913) 742-4086

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2002023545
MO
363L00000X
Nurse Practitioner
Primary
45309
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200334290A
KS
01
35494015
BCBS
01
P00183247
RAILROAD MEDICARE
Enumeration date
05/18/2006
Last updated
01/07/2011
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