Provider Demographics
NPI:1699512657
Name:SCHUH, KELLY
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:SCHUH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2514
Mailing Address - Country:US
Mailing Address - Phone:419-346-3363
Mailing Address - Fax:
Practice Address - Street 1:161 ASPEN DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2514
Practice Address - Country:US
Practice Address - Phone:419-346-3363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide