| Doctor Name: | KELLEY KENNEDY SCHULZE |
| NPI Number: | 1063643922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 650862 |
| Business Practice Address: | 1651 Rock Prairie Rd #102 College Station, TX - 778458652 |
| Business Phone Number: | 9796937400 |
| Business Fax Number: | 9796937446 |
| Mailing Address: | 1500 University Dr E, #100 COLLEGE STATION |
| State: | TX |
| Postal Code: | 778402600 |
| Phone Number: | 9798461100 |
| Fax Number: | 9792609390 |
| NPI Enumeration Date: | 07/27/2009 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 650862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |