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NPI Code Detail

MEDICARE: KELLY A SCHMIDT ARNP

MEDICARE: KELLY A SCHMIDT ARNP
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
1363L00000XNurse Practitioner44491KS

General Provider Information

NPI Number : 1871567636
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY A SCHMIDT ARNP
Provider Business Mailing Address
First Line : 325 MAINE ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66044-1360
Country : US
Telephone Number : 785-505-6100
Fax Number : 785-505-2874
Provider Business Practice Location Address
First Line : 325 MAINE ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66044-1360
Country : US
Telephone Number : 785-505-6100
Fax Number : 785-505-2874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 12/28/2020

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Directions to “ KELLY A SCHMIDT ARNP” Practice Location

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