Doctor Name: | MRS. MARGARET SCHMIDT ENDRIS |
NPI Number: | 1083691547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA738 |
Business Practice Address: | 231 Midland Park Shelbyville, KY - 400659735 |
Business Phone Number: | 5026336040 |
Business Fax Number: | 5026336992 |
Mailing Address: | 231 Midland Park, SHELBYVILLE |
State: | KY |
Postal Code: | 400659735 |
Phone Number: | 5026336040 |
Fax Number: | 5026336992 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |