Provider Demographics
NPI:1952304305
Name:HEAPHY, THOMAS BERNARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BERNARD
Last Name:HEAPHY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:10600 QUIVIRA RD
Mailing Address - Street 2:STE 210
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2311
Mailing Address - Country:US
Mailing Address - Phone:913-541-3300
Mailing Address - Fax:913-894-5522
Practice Address - Street 1:10600 QUIVIRA RD
Practice Address - Street 2:STE 210
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2311
Practice Address - Country:US
Practice Address - Phone:913-541-3300
Practice Address - Fax:913-894-5522
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0424056174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist