Provider Demographics
NPI:1811582455
Name:SCHAMMEL, KAILEY (NP)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:
Last Name:SCHAMMEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:
Other - Last Name:SEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 857
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21922-0857
Mailing Address - Country:US
Mailing Address - Phone:302-838-3100
Mailing Address - Fax:
Practice Address - Street 1:1993 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1708
Practice Address - Country:US
Practice Address - Phone:302-838-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLG-0011575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily