Healthcare Provider Details

I. General information

NPI: 1114652047
Provider Name (Legal Business Name): KATHLEEN MARIE SCHIEFFER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 CHILDRENS XRD
COLUMBUS OH
43215-5594
US

IV. Provider business mailing address

6758 CAT SINGER CIR N
HILLIARD OH
43026-8277
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-2894
  • Fax:
Mailing address:
  • Phone: 302-521-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: