Provider Demographics
NPI:1356590079
Name:SCHENE, KEVIN LLOYD (COTA)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LLOYD
Last Name:SCHENE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 GLOUSTER CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1697
Mailing Address - Country:US
Mailing Address - Phone:410-374-0419
Mailing Address - Fax:
Practice Address - Street 1:9637 LIBERTY RD STE K
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2452
Practice Address - Country:US
Practice Address - Phone:410-922-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00568174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA00568OtherLICENSE BOARD OF OCCUPATIONAL THERAPY