Provider Demographics
NPI:1700434784
Name:SCHOELL, KEVIN NORMAN
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:NORMAN
Last Name:SCHOELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6454
Mailing Address - Country:US
Mailing Address - Phone:215-767-9373
Mailing Address - Fax:
Practice Address - Street 1:107 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-6454
Practice Address - Country:US
Practice Address - Phone:215-767-9373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer