MEDICARE: KIERAN K SCHMULT

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
1	208100000X	Physical Medicine & Rehabilitation Physician	2566	OK

General Provider Information

NPI Number	:	1538987821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERAN K SCHMULT

Provider Business Mailing Address
First Line	:	2000 ANN BRANDEN BLVD
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-1667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 ANN BRANDEN BLVD
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-1667
Country	:	US
Telephone Number	:	405-253-1850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	09/26/2024

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Directions to “ KIERAN K SCHMULT ” Practice Location

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