KEN I HEDEGAARD

LEAVENWORTH, KS
NPI1386721926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KS  1-10737)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Mr. KEN I HEDEGAARD rph
5000 S 13TH ST
LEAVENWORTH, KS 66048-5581
Phone number: 785-273-5011
Mailing Address
Mr. KEN I HEDEGAARD rph
3732 SW SUMMERFIELD DR
TOPEKA, KS 66610-1246
Phone number: