Doctor Name: | MR. KURT L. SCHMECKPEPER |
NPI Number: | 1346425287 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 1384 |
Business Practice Address: | 2910 Betten Dr Crete, NE - 683333084 |
Business Phone Number: | 4028262102 |
Business Fax Number: | |
Mailing Address: | Po Box 220, CRETE |
State: | NE |
Postal Code: | 683330220 |
Phone Number: | 4028262102 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |