Provider Demographics
NPI:1538585815
Name:SCHNAPP, KENNETH B
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:B
Last Name:SCHNAPP
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 1:3087 GOODING RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8875
Mailing Address - Country:US
Mailing Address - Phone:740-361-5879
Mailing Address - Fax:
Practice Address - Street 1:816 N SANDUSKY AVE
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-1436
Practice Address - Country:US
Practice Address - Phone:419-617-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)