Provider Demographics
NPI:1417622143
Name:SCHUKEI, KAYLEE (PA)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:SCHUKEI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9127 NEWHALL DR APT 38
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-5378
Mailing Address - Country:US
Mailing Address - Phone:916-518-9468
Mailing Address - Fax:
Practice Address - Street 1:9127 NEWHALL DR APT 38
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-5378
Practice Address - Country:US
Practice Address - Phone:916-518-9468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant