Provider Demographics
NPI:1033974704
Name:ZEISLER, KHALEESI EILEEN
Entity Type:Individual
Prefix:
First Name:KHALEESI
Middle Name:EILEEN
Last Name:ZEISLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 SHERMAN PARK
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3640
Mailing Address - Country:US
Mailing Address - Phone:740-460-2702
Mailing Address - Fax:
Practice Address - Street 1:802 SHERMAN PARK
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3640
Practice Address - Country:US
Practice Address - Phone:740-460-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide