Isom, Heather K

Isom, Heather K is an individual health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Isom, Heather K can be contacted via phone (816) 404-1587.

Contact Information

Primary practice address
2301 Holmes St Kansas City MO 64108-2640
Phone: (816) 404-1587
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 105974 Missouri

Profile Details

NPI number 1063416949
LBN Legal business name Isom, Heather K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416949 NPPES
South Carolina MEDICAID G50187
South Carolina MEDICAID 000909609D

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