MEDICARE: NORMAN T HEISLER MD

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	2084P0800X	Psychiatry Physician	0420445	KS
2	2084P0800X	Psychiatry Physician	R2C21	MO

General Provider Information

NPI Number	:	1679566855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN T HEISLER MD

Provider Business Mailing Address
First Line	:	901 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4517
Country	:	US
Telephone Number	:	816-932-1711
Fax Number	:	816-932-1719

Provider Business Practice Location Address
First Line	:	601 S US HIGHWAY 169
Second Line	:
City	:	SMITHVILLE
State	:	MO
Zip	:	64089-9317
Country	:	US
Telephone Number	:	816-532-3700
Fax Number	:	816-932-1719

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/03/2022

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Directions to “ NORMAN T HEISLER MD” Practice Location

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