Provider Demographics
NPI:1245075803
Name:KRISTEN SCHELL PHOTOGRAPHY LLC
Entity type:Organization
Organization Name:KRISTEN SCHELL PHOTOGRAPHY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-884-5310
Mailing Address - Street 1:156 W MICHIGAN AVE UNIT 295
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1302
Mailing Address - Country:US
Mailing Address - Phone:724-884-5310
Mailing Address - Fax:
Practice Address - Street 1:810 S WEST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-1667
Practice Address - Country:US
Practice Address - Phone:724-884-5310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty