Kevin Heidrick is a Medical in Toppenish, Washington. Kevin Heidrick practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin Heidrick is 1891884268. The last update date is 2012-12-20.
Kevin Heidrick's current location address is Po Box 190, Toppenish, Washington. You can contact this provider via phone number 5098655898. The mailing address for Kevin Heidrick is Po Box 190, Toppenish, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Heidrick |
|---|---|
| Address | Po Box 190, Toppenish, Washington |
| Phone Number | 5098655898 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1891884268 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2012-12-20 |
Provider Mailing Address Detail
| Address | Po Box 190 |
|---|---|
| City | Toppenish |
| State | Washington (WA) |
| Post Code | 989480190 |
| Phone Number | 5098655898 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00369 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67463016 | OR | REGENCE | |
| 911019392 | COMMERCIAL | ||
| M066501 | PACIFIC SOURCE |
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What is the unique 10-digit identification code issued to Kevin Heidrick by the Centers for Medicare & Medicaid Services?
The Kevin Heidrick has been assigned the NPI (National Provider Identifier) 1891884268 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kevin Heidrick's physical address?
The Kevin Heidrick is physically located at Po Box 190, in the city of Toppenish, WA, with the postal code 989480190.
What is Kevin Heidrick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Heidrick is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891884268 to Kevin Heidrick?
The Centers for Medicare & Medicaid Services assigned the 1891884268 to Kevin Heidrick on 2006-10-12.
As of what date were the details pertaining to Kevin Heidrick last refreshed?
The information related to the Kevin Heidrick, including its address, specialty, and other relevant details, was last updated on 2012-12-20.