MEDICARE: KELLEE HASLON CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APRN.CNP.16708	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669878419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEE HASLON CNP

Provider Business Mailing Address
First Line	:	260 E UNIVERSITY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2356
Country	:	US
Telephone Number	:	513-820-0432
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 E UNIVERSITY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2356
Country	:	US
Telephone Number	:	667-260-6855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	02/12/2026

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