Individual
HEATHER LEI KONDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15900 SNOW RD STE 600, BROOKPARK, OH 44142-2861
(440) 467-2266
(216) 417-1854
Mailing address
15900 SNOW RD STE 600, BROOKPARK, OH 44142-2861
(440) 467-2266
(216) 417-1854
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1368958
TX
163WC0200X
Critical Care Medicine Registered Nurse
366230
OH
163WG0000X
General Practice Registered Nurse
0001222531
VA
363LF0000X
Family Nurse Practitioner
Primary
0041378
OH
Other
Enumeration date
12/27/2014
Last updated
03/25/2026
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