Individual provider · Type 1 NPI

Heidi Louise Peck, PA

Medical Physician Assistant · Shawnee Mission, KS

NPI number 1457438376 Active

Practice location

9119 W 74th St, Suite 300
Shawnee Mission, KS 66204-2236

Fax (913) 677-4514

Mailing address

PO Box 26604
Kansas City, MO 64196-6604

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X15-00569 (KS)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1457438376

Heidi Louise Peck, PA's National Provider Identifier is 1457438376, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shawnee Mission, KS. The record was last updated on Jul 8, 2007.