IndividualActive
Heather Bloomer, PA-C
NPI 1477700235 · Surgical Physician Assistant · Wichita, KS
Provider details
- NPI number
- 1477700235
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 15-01253 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
Approximate (ZIP-level) locationGet directions
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Registry dates
- Enumerated
- 2008-08-25
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.