Provider Demographics
NPI:1902384555
Name:SCHOEDLER, KARA NICOLE
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:NICOLE
Last Name:SCHOEDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HIGHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3213
Mailing Address - Country:US
Mailing Address - Phone:860-402-7317
Mailing Address - Fax:
Practice Address - Street 1:88 W STAFFORD RD
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-1067
Practice Address - Country:US
Practice Address - Phone:860-684-9555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0014454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist