Provider Demographics
NPI:1114286275
Name:SCHNIEDERS, COURTNEY PAIGE (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:PAIGE
Last Name:SCHNIEDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:PAIGE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2801 PALUMBO DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1317
Mailing Address - Country:US
Mailing Address - Phone:859-543-4340
Mailing Address - Fax:859-543-4349
Practice Address - Street 1:2801 PALUMBO DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1317
Practice Address - Country:US
Practice Address - Phone:859-543-4340
Practice Address - Fax:859-543-4349
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY47959207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine