Provider Demographics
NPI:1467428508
Name:SCHLEDER, KRISTI J (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:J
Last Name:SCHLEDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-0069
Mailing Address - Country:US
Mailing Address - Phone:828-649-9566
Mailing Address - Fax:828-649-3786
Practice Address - Street 1:119 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9500
Practice Address - Country:US
Practice Address - Phone:828-689-3507
Practice Address - Fax:828-689-3505
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8974866Medicaid
NCC86331Medicare UPIN
NC8974866Medicaid