Healthcare Provider Details

I. General information

NPI: 1790699965
Provider Name (Legal Business Name): CHANDLER M HEDRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 W 45TH ST UNIT A2W
KANSAS CITY MO
64111-4343
US

IV. Provider business mailing address

5000 FONTANA ST
ROELAND PARK KS
66205-1320
US

V. Phone/Fax

Practice location:
  • Phone: 816-808-2422
  • Fax:
Mailing address:
  • Phone: 816-808-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: