Healthcare Provider Details

I. General information

NPI: 1770395709
Provider Name (Legal Business Name): KALI B HEYSE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KALI HATCHER, SCHNEIDER

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5549 POND VIEW CT
LEBANON OH
45036-7819
US

IV. Provider business mailing address

8160 MONTGOMERY RD
CINCINNATI OH
45236-2904
US

V. Phone/Fax

Practice location:
  • Phone: 937-561-8325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: