Kelly Marie Schroeder in Grand Rapids - Physician Assistant

Kelly Marie Schroeder - NPI 1770545139

Kelly Marie Schroeder is a Physician Assistant in Grand Rapids, Michigan. Kelly Marie Schroeder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Marie Schroeder is 1770545139. The last update date is 2015-05-28.

Kelly Marie Schroeder's current location address is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166855231 and fax number 6166855260. The mailing address for Kelly Marie Schroeder is 200 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Marie Schroeder
Address 200 Jefferson Ave Se, Grand Rapids, Michigan
Phone Number 6166855231
Fax Number 6166855260
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1770545139
Provider Enumeration Date 2006-04-03
Last Updated Date 2015-05-28

Provider Mailing Address Detail

Address 200 Jefferson Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495034502
Phone Number 6166855231
Fax Number 6166855260

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003646
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kelly Marie Schroeder

What is the unique 10-digit identification code assigned to Kelly Marie Schroeder by the Centers for Medicare & Medicaid Services?

The Kelly Marie Schroeder has been issued the NPI (National Provider Identifier) 1770545139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kelly Marie Schroeder is geographically located?

The Kelly Marie Schroeder is physically situated at the following location: 200 Jefferson Ave Se, Grand Rapids, MI, 495034502.

What is Kelly Marie Schroeder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Marie Schroeder's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date was the 1770545139 assigned to Kelly Marie Schroeder?

The Kelly Marie Schroeder was issued its 1770545139 on 2006-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kelly Marie Schroeder most recently updated or revised?

The information pertaining to Kelly Marie Schroeder, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-28.

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