Healthcare Provider Details

I. General information

NPI: 1114970738
Provider Name (Legal Business Name): DARCI SCHIMP RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARCI LYNN SANDERS

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN STREET
KALAMAROO MI
49007
US

IV. Provider business mailing address

601 JOHN STREET
KALAMAROO MI
49007
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-6860
  • Fax: 269-341-7187
Mailing address:
  • Phone: 269-341-6860
  • Fax: 269-341-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number700245
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: