Individual
MR. EDY G HEYDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2401 GILLHAM RD, GENERAL PEDIATRICS- 5 WEST, KANSAS CITY, MO 64108-4619
(816) 234-3898
(816) 855-1940
Mailing address
2401 GILLHAM RD, GENERAL PEDIATRICS- 5 WEST, KANSAS CITY, MO 64108-4619
(816) 234-3898
(816) 855-1940
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
146240
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423811405
—
MO
Enumeration date
04/25/2006
Last updated
07/08/2007
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