Heritage Medical Associates, P.a.

NPI #1316998305 in Peabody, Kansas

Provider Information

NPI Number
1316998305
Entity Type
Organization
Organization Name
Heritage Medical Associates, P.a.
Primary Specialty
Family Medicine
Enumeration Date
May 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
500 W 4TH ST
State
Kansas
ZIP Code
66866-1103
Phone
(620) 983-2171

Authorized Official

Name
DR. RANDOLPH RICHARD WHITELY, M.D.
Title
DIRECTOR
Phone
(620) 983-2171

Specialties & Taxonomy Codes

Specialty
Family Medicine

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