Individual
MR. IVAN PERSHING HART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
75348
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002243
MEDICARE PTAN
KS
05
—
201090240A
—
KS
Enumeration date
03/29/2010
Last updated
08/01/2025
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