Provider Demographics
NPI:1457373524
Name:HETLINGER, JOHN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:HETLINGER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1902 S HWY 59 BLDG E
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4948
Mailing Address - Country:US
Mailing Address - Phone:620-820-5800
Mailing Address - Fax:620-820-5589
Practice Address - Street 1:1902 S HWY 59 BLDG E
Practice Address - Street 2:SUITE 101
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-820-5800
Practice Address - Fax:620-820-5589
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2011-11-29
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Provider Licenses
StateLicense IDTaxonomies
KS04-31893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine