Schneider, Kaitlyn Soukup

Schneider, Kaitlyn Soukup is an individual health care provider with primary practice located at 1515 Randolph Ct , Manitowoc WI 54220-8345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Schneider, Kaitlyn Soukup can be contacted via phone (920) 683-5278.

Contact Information

Primary practice address
1515 Randolph Ct Manitowoc WI 54220-8345
Phone: (920) 683-5278
Fax: (920) 482-0359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4386 Wisconsin

Profile Details

NPI number 1639663503
LBN Legal business name Schneider, Kaitlyn Soukup
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2018
Last updated Sep 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639663503 NPPES
Wisconsin MEDICAID 100078943

Popular Providers