Provider Demographics
NPI:1578194841
Name:SCHOOLEY, MICHAEL PETER (PA-S)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PETER
Last Name:SCHOOLEY
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5414 N MERCIER AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-7821
Mailing Address - Country:US
Mailing Address - Phone:808-291-5354
Mailing Address - Fax:
Practice Address - Street 1:5414 N MERCIER AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-7821
Practice Address - Country:US
Practice Address - Phone:808-291-5354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program