Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN DIANE OTT HEASLEY, DO
ActiveFamily Medicine · CHENEY, KS
Registration Details
- NPI Number
- 1336360254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2007 (19.01357547312 yrs)
- Last Updated
- Feb 2, 2022
- Licenses
-
2011020340 (MO)6554 (KS)05-45046 (KS)
Practice Information
- Address
-
103 N MAIN STCHENEY, KS, 670258844Browse KS providers · Browse ZIP 67025
- Phone
- 6202596221
- Fax
- 3165406193
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CHENEY, KS
| Name | Credential | NPI |
|---|---|---|
| MARY K GOODWIN | MD | 1558322446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.