Provider Demographics
NPI:1588813919
Name:SCHUSTER, KATHLEEN EVELYN (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:EVELYN
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:BRUMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12921 126TH TER
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-2607
Mailing Address - Country:US
Mailing Address - Phone:727-504-6380
Mailing Address - Fax:
Practice Address - Street 1:12921 126TH TER
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-2607
Practice Address - Country:US
Practice Address - Phone:727-504-6380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine