Healthcare Provider Details

I. General information

NPI: 1700795762
Provider Name (Legal Business Name): KAREN SCHILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 FAIRWAY DR
KETTERING OH
45409-1215
US

IV. Provider business mailing address

3319 FAIRWAY DR
KETTERING OH
45409-1215
US

V. Phone/Fax

Practice location:
  • Phone: 937-672-4447
  • Fax:
Mailing address:
  • Phone: 937-672-4447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: