Healthcare Provider Details

I. General information

NPI: 1306054952
Provider Name (Legal Business Name): BRET E HESKETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712A SAINT JOHN ST
GARDEN CITY KS
67846-5128
US

IV. Provider business mailing address

2090 MILFORD LN
GARDEN CITY KS
67846-8341
US

V. Phone/Fax

Practice location:
  • Phone: 620-275-1766
  • Fax: 620-275-4729
Mailing address:
  • Phone: 620-805-2308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number04-34977
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: