Healthcare Provider Details

I. General information

NPI: 1104112176
Provider Name (Legal Business Name): KAREN M SCHNEIDER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 DIXIE HWY
FT MITCHELL KY
41017-2902
US

IV. Provider business mailing address

PO BOX 932958
CLEVELAND OH
44193-2902
US

V. Phone/Fax

Practice location:
  • Phone: 859-292-1784
  • Fax: 859-292-1785
Mailing address:
  • Phone: 859-292-1784
  • Fax: 859-292-1785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.12366-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3007598
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: