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NPI Code Detail

MEDICARE: SANDRA SCHULZ

MEDICARE:   SANDRA  SCHULZ
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1427448042
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SCHULZ
Provider Business Mailing Address
First Line : 7011 OAK VALLEY DR
Second Line :
City : PEWEE VALLEY
State : KY
Zip : 40056-8530
Country : US
Telephone Number : 502-418-6955
Fax Number :
Provider Business Practice Location Address
First Line : 7011 OAK VALLEY DR
Second Line :
City : PEWEE VALLEY
State : KY
Zip : 40056-8530
Country : US
Telephone Number : 502-418-6955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 02/03/2015

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Directions to “ SANDRA SCHULZ ” Practice Location

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