Provider Demographics
NPI:1881712800
Name:SCHRADER, KARA LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNNE
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 WELLINGTON DR SW
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8620
Mailing Address - Country:US
Mailing Address - Phone:252-237-5237
Mailing Address - Fax:252-234-9932
Practice Address - Street 1:2402 CAMDEN ST SW
Practice Address - Street 2:SUITE 800
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8608
Practice Address - Country:US
Practice Address - Phone:252-237-5237
Practice Address - Fax:252-234-9932
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001000860207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine