MEDICARE: KIMBERLY A SCHIEL MD

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
1	207Q00000X	Family Medicine Physician	110841	MO
2	207Q00000X	Family Medicine Physician	110841	MT

General Provider Information

NPI Number	:	1497772388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A SCHIEL MD

Provider Business Mailing Address
First Line	:	1402 S GRAND BLVD
Second Line	:	O'DONNELL BLDG, 2ND FLOOR
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-1004
Country	:	US
Telephone Number	:	314-977-8480
Fax Number	:

Provider Business Practice Location Address
First Line	:	2315 DOUGHERTY FERRY RD
Second Line	:	SUITE 205
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-3383
Country	:	US
Telephone Number	:	314-977-9600
Fax Number	:	314-977-9627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	01/13/2021

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Directions to “ KIMBERLY A SCHIEL MD” Practice Location

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