Provider Demographics
NPI:1831133594
Name:HEDDINGS, ARCHIE A (MD)
Entity Type:Individual
Prefix:
First Name:ARCHIE
Middle Name:A
Last Name:HEDDINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS #3017 UNIVERSITY OF KANSAS MEDICAL CENTER
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0000
Mailing Address - Country:US
Mailing Address - Phone:913-588-6100
Mailing Address - Fax:913-588-8186
Practice Address - Street 1:3901 RAINBOW BLVD.
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0000
Practice Address - Country:US
Practice Address - Phone:913-588-6100
Practice Address - Fax:913-588-8186
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN48464207X00000X, 207XX0801X
KS04-32256207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma