Schroeder, Kelly A

Schroeder, Kelly A is an individual health care provider with primary practice located at 750 W High St Suite # 250, Lima OH 45801-2969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Schroeder, Kelly A can be contacted via phone (419) 227-7399.

Contact Information

Primary practice address
750 W High St Suite # 250 Lima OH 45801-2969
Fax: (419) 229-0123
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80801 Ohio

Profile Details

NPI number 1194861682
LBN Legal business name Schroeder, Kelly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 31st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194861682 NPPES
Ohio MEDICAID 2317157

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