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NPI Code Detail

MEDICARE: DR. KIMBERLY NICHOLE SCHROEDER D.C.

MEDICARE: DR. KIMBERLY NICHOLE SCHROEDER D.C.
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
1111N00000XChiropractor2301010351MI

General Provider Information

NPI Number : 1659737138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY NICHOLE SCHROEDER D.C.
Provider Business Mailing Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number : 616-392-2166
Fax Number :
Provider Business Practice Location Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number : 616-392-2166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 01/13/2016

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Directions to “ DR. KIMBERLY NICHOLE SCHROEDER D.C.” Practice Location

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