Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 05-40038 | KS |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2017018169 | MO |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 20A13209 | CA |
NPI | 1023246493 |
---|---|
Provider Name | Jessica K Heimes |
First Address | Kansas City, MO 64111 |
Second Address | Kansas City, KS 66103-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 13/09/2017 |