Steve Harold Hegstrom, C.P.T.A.
Specialist in Overland Park, KS. Individual provider (NPI-1).
NPI number1124154992
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124154992
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steve Harold Hegstrom
- Credential
- C.P.T.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 14-00052 | KS | Yes |
| 174400000X | Specialist | 117642 | MO |
Practice location
10300 W 103rd StSuite 300
Overland Park, KS 66214-2642
Phone 913-941-1910
Mailing address
5045 Outlook RdMission, KS 66202-1842
Phone 913-677-4806
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