Provider Demographics
NPI:1598728883
Name:HEEB, CAMILLE S (MD)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:S
Last Name:HEEB
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6021 SW 29TH ST
Mailing Address - Street 2:SUITE A PMB 374
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-6200
Mailing Address - Country:US
Mailing Address - Phone:785-272-1903
Mailing Address - Fax:785-272-5711
Practice Address - Street 1:631 SW HORNE ST
Practice Address - Street 2:SUITE 340
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1694
Practice Address - Country:US
Practice Address - Phone:785-234-4624
Practice Address - Fax:785-234-4791
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-09
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
KS04-187272080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS046198OtherBLUE CROSS BLUE SHIELD
KS623630OtherFIRSTGUARD
KS046198Medicare ID - Type Unspecified
KSE54195Medicare UPIN