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NPI Code Detail

MEDICARE: DR. KYLE STEPHEN SCHNEIDER DO

MEDICARE: DR. KYLE STEPHEN SCHNEIDER DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1154010973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE STEPHEN SCHNEIDER DO
Provider Business Mailing Address
First Line : 20745 N SCOTTSDALE RD STE 120
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-6595
Country : US
Telephone Number : 480-882-7510
Fax Number : 480-946-3711
Provider Business Practice Location Address
First Line : 1955 W FRYE RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6282
Country : US
Telephone Number : 480-728-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 05/07/2026

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