Healthcare Provider Details
I. General information
NPI: 1669424842
Provider Name (Legal Business Name): HEARTLAND WOMEN'S HEALTH, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9300 E 29TH ST N SUITE 320
WICHITA KS
67226-2182
US
IV. Provider business mailing address
9300 E 29TH ST N SUITE 320
WICHITA KS
67226-2182
US
V. Phone/Fax
- Phone: 316-858-7100
- Fax: 316-858-7103
- Phone: 316-858-7100
- Fax: 316-858-7103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAWNE
A
LOWDEN
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 316-858-7100