| NPI | 1538409396 |
|---|---|
| Former Name | KELLIE K SCHOENLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50003712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006693) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-11-03 |