Kevin R. Schroeder, Dpm
in Beavercreek, OH. Organization (NPI-2).
NPI number1912950171
StatusActive
Last updated in NPPESMar 10, 2009
Details
- NPI
- 1912950171
- Entity type
- Organization (NPI-2)
- Legal business name
- Kevin R. Schroeder, Dpm
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Mar 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | – | – | Yes |
Practice location
3121 Evelyn DrSte 120
Beavercreek, OH 45434-4309
Phone 937-427-1175 · Fax 937-427-9494
Mailing address
3121 Evelyn DrSte 120
Beavercreek, OH 45434-4309
Phone 937-427-1175 · Fax 937-427-9494
Authorized official
Kevin Raymond Schroeder
Owner
9374271175
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