Provider Demographics
NPI:1891317368
Name:SCHAEFER, KAYLA M (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:M
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:M
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14200 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4510
Mailing Address - Country:US
Mailing Address - Phone:216-658-0111
Mailing Address - Fax:216-658-0110
Practice Address - Street 1:14200 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4510
Practice Address - Country:US
Practice Address - Phone:216-658-0111
Practice Address - Fax:216-658-0110
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.004113213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty