Kelly Schultz, LPN is a
Licensed Practical Nurse based in Deforest, Wisconsin. Kelly Schultz is licensed to practice in Wisconsin (license number 31091-30) and her current practice location is
3960 Sunnyvale Dr, Deforest, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 296-8048.
NPI number for Kelly Schultz is 1295275675 and her current mailing address is 3960 Sunnyvale Dr, Deforest, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295275675.
Provider's Profile
| Full Name | Kelly Schultz |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 3960 Sunnyvale Dr, Deforest, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295275675
- Provider Enumeration Date: 03/03/2017
- Last Update Date: 03/03/2017
Medical Identifiers
Medical identifiers for Kelly Schultz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295275675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 31091-30 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Schultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Schultz, LPN
3960 Sunnyvale Dr,
Deforest, WI 53532-2747
Ph: () - | Kelly Schultz, LPN
3960 Sunnyvale Dr,
Deforest, WI 53532-2747
Ph: (920) 296-8048 |
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