Provider Demographics
NPI:1063136497
Name:KENNEN SCHMIDT, KAYLA (MS)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:KENNEN SCHMIDT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2429
Mailing Address - Country:US
Mailing Address - Phone:717-422-6440
Mailing Address - Fax:
Practice Address - Street 1:25 E NORTH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2429
Practice Address - Country:US
Practice Address - Phone:717-422-6440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty