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NPI Code Detail

MEDICARE: KELLY ELIZABETH SCHMIDT

MEDICARE: KELLY ELIZABETH SCHMIDT
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1001038CO

General Provider Information

NPI Number : 1942884507
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ELIZABETH SCHMIDT
Provider Business Mailing Address
First Line : 2674 S KRAMERIA ST
Second Line :
City : DENVER
State : CO
Zip : 80222-7104
Country : US
Telephone Number : 718-440-6390
Fax Number :
Provider Business Practice Location Address
First Line : 400 S COLORADO BLVD STE 530
Second Line :
City : DENVER
State : CO
Zip : 80246-1255
Country : US
Telephone Number : 720-316-0265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 04/21/2026

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