Individual
DR. JULIE W HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20375 W 151ST ST, SUITE 306, OLATHE, KS 66061-5306
(913) 782-2292
(913) 782-2381
Mailing address
PO BOX 843018, KANSAS CITY, MO 64184-3018
(913) 782-2292
(913) 782-2381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0428771
KS
207L00000X
Anesthesiology Physician
108086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177130C
—
KS
05
—
100177130D
—
KS
05
—
202996088
—
MO
01
—
P00455419
RAILROAD
KS
Enumeration date
07/07/2006
Last updated
07/05/2017
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