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NPI Code Detail

MEDICARE: DR. HEATHER K ISOM MD

MEDICARE: DR. HEATHER K ISOM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician105974MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063416949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER K ISOM MD
Provider Business Mailing Address
First Line : 2310 HOLMES ST
Second Line : STE 800
City : KANSAS CITY
State : MO
Zip : 64108-2602
Country : US
Telephone Number : 816-218-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2301 HOLMES ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2640
Country : US
Telephone Number : 816-404-1587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/09/2016

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