Provider Demographics
NPI:1346268133
Name:SCHUMACKER-LOPEZ, KATHY (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
Last Name:SCHUMACKER-LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 WEST FRANCIS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-0614
Mailing Address - Country:US
Mailing Address - Phone:308-534-9230
Mailing Address - Fax:308-534-5016
Practice Address - Street 1:611 WEST FRANCIS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-0614
Practice Address - Country:US
Practice Address - Phone:308-534-9230
Practice Address - Fax:308-534-5016
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEH25800Medicare UPIN
NE47068774800Medicaid