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NPI Code Detail

MEDICARE: SCHELLI HOEFINGHOFF SCHRODER

MEDICARE: SCHELLI HOEFINGHOFF SCHRODER
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
1172V00000XCommunity Health WorkerKY-R1314KY

General Provider Information

NPI Number : 1134300502
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCHELLI HOEFINGHOFF SCHRODER
Provider Business Mailing Address
First Line : 3876 TURKEYFOOT ROAD
Second Line :
City : ELSMERE
State : KY
Zip : 41018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3876 TURKEYFOOT RD
Second Line :
City : ELSMERE
State : KY
Zip : 41018-2838
Country : US
Telephone Number : 859-342-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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Directions to “ SCHELLI HOEFINGHOFF SCHRODER ” Practice Location

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