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NPI Code Detail

MEDICARE: MRS. KELLY L SCHULTE NP-C

MEDICARE: MRS. KELLY L SCHULTE NP-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
1363LA2200XAdult Health Nurse Practitioner09454OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000551861OTHERANTHEM

General Provider Information

NPI Number : 1861681108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY L SCHULTE NP-C
Provider Business Mailing Address
First Line : 7701 LEGACY DR
Second Line :
City : PLANO
State : TX
Zip : 75024-4002
Country : US
Telephone Number : 214-785-3579
Fax Number :
Provider Business Practice Location Address
First Line : 7701 LEGACY DR
Second Line :
City : PLANO
State : TX
Zip : 75024-4002
Country : US
Telephone Number : 214-785-3579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2007
Last Update Date : 12/15/2025

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