Schmidt, Kelly Jay
Schmidt, Kelly Jay is an individual health care provider with primary practice located at 5100 Prairie Pkwy Ste 101 , Cedar Falls IA 50613-8155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schmidt, Kelly Jay can be contacted via phone (319) 553-0828.Contact Information
Primary practice address
5100 Prairie Pkwy Ste 101
Cedar Falls IA 50613-8155
Phone: (319) 553-0828
Fax: (319) 277-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30041 | Iowa |
Profile Details
| NPI number | 1194704718 |
|---|---|
| LBN Legal business name | Schmidt, Kelly Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Oct 3rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194704718 | NPPES |
| Iowa | MEDICAID | 7097683 | |
| Iowa | MEDICAID | 8097683 | |
| Iowa | Other | 080091823 |
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