Provider Demographics
NPI:1336178961
Name:SCHULZ, KATHRYN A (PA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7030 HELEN WITT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-3730
Mailing Address - Country:US
Mailing Address - Phone:402-420-0400
Mailing Address - Fax:402-420-0402
Practice Address - Street 1:7030 HELEN WITT DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3730
Practice Address - Country:US
Practice Address - Phone:402-420-0400
Practice Address - Fax:402-420-0402
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE422363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47049487112Medicaid
NE2410OtherMIDLANDS CHOICE
NE37349OtherBLUE CROSS BLUE SHIELD
NE37349OtherBLUE CROSS BLUE SHIELD