Provider Demographics
NPI:1821398850
Name:SCHROEDER, KERRY LYNN (CSFA)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:LYNN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3292 THORNHILL DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3059
Mailing Address - Country:US
Mailing Address - Phone:774-830-4723
Mailing Address - Fax:
Practice Address - Street 1:6630 S MCCARRAN BLVD
Practice Address - Street 2:SUITE #20
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6145
Practice Address - Country:US
Practice Address - Phone:775-828-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant