Healthcare Provider Details

I. General information

NPI: 1417825795
Provider Name (Legal Business Name): GARDEN CITY OB/GYN, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N CAMPUS DR STE 108
GARDEN CITY KS
67846-6158
US

IV. Provider business mailing address

409 N CAMPUS DR STE 108
GARDEN CITY KS
67846-6158
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRET EARL HESKETT
Title or Position: PHYSICIAN
Credential: MD
Phone: 620-805-2308