MR. KELLY J SCHULTZ


Address: 540 College Ave, Medford, WI 54451-2027
Phone: 7157483332

MR. KELLY J SCHULTZ (NPI# 1881809119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881809119
Entity Type Individual
Full Name MR. KELLY J SCHULTZ
Credential L.P.C,S.A.C.
Practice Address 540 College Ave
Medford
WI 54451-2027
Practice Telephone 7157483332
Practice Fax Number 7157483342
Mailing Telephone 7157483332
Mailing Fax Number 7157483342
Enumeration Date 2007-05-11
Last Update Date 2015-12-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
13934-131 WI Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
13934-131 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE LIC NUMBER 13934-131 01
WI 43576100 05

Other Providers KELLY SCHULTZ

NPI Name Taxonomy Address Enumeration
1508328519 Kelly Paige Schultz Student in an Organized Health Care Education/Training Program 1 Baylor Plz # 11316, Houston, TX 77030-3411 2019-04-01
1295275675 Kelly Schultz Licensed Practical Nurse 3960 Sunnyvale Dr, Deforest, WI 53532-2747 2017-03-03
1023499860 Kelly Lynn Schultz Nurse Practitioner 3944 E Hillery Dr, Phoenix, AZ 85032-5245 2015-06-17
1225677388 Kelly Ann Schultz Nurse Practitioner 1751 Sheridan Dr, Tonawanda, NY 14223-1211 2020-01-06
1861975476 Kelly Schultz Physician Assistant 1234 Napier Ave, Saint Joseph, MI 49085-2112 2018-09-10
1548716046 Kelly Schultz Specialist/Technologist 140 S Chaparral Ct, Ste. 110, Anaheim, CA 92808-2239 2016-08-25
1871862177 Kelly Krupa Schultz Counselor 4448 Oakbridge Dr, Flint, MI 48532-5484 2011-12-16
1497858021 Kelly L. Schultz Audiologist 2727 Plaza Dr, Wausau, WI 54401-4129 2006-09-07

Office Location

Street Address 540 COLLEGE AVE
City MEDFORD
State WI
Zip Code 54451-2027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538373022 Taylor County Counselor 540 College Ave, Medford, WI 54451-2027 2007-05-10
1487823308 Jack George Rudolph Counselor 540 College Ave, Medford, WI 54451-2027 2008-02-25
1568645604 Taylor County Early Intervention Provider Agency 540 College Ave, Medford, WI 54451-2027 2007-12-12
1801092374 Taylor County Community/Behavioral Health 540 College Ave, Medford, WI 54451 2007-06-22
1710183280 Taylor County Case Management 540 College Ave, Medford, WI 54451-2027 2007-06-22
1740494228 Anthony J Schmidt Counselor 540 College Ave, Medford, WI 54451-2027 2007-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710536321 Bone & Joint Clinic S.c. Durable Medical Equipment & Medical Supplies 724 S. 8th St, Medford, WI 54451 2019-09-06
1215474671 Heidi Marie Nernberger Dental Hygienist 124 S. Main Street, Medford, WI 54451 2017-01-24
1497152656 Rachel E Nichols Dental Hygienist 124 South Main St, Medford, WI 54451 2014-12-03
1811305360 Amanda Mosse Social Worker 10649 W Perkinstown Ave, Medford, WI 54451 2014-07-29
1891081113 Debra Jeanne Zenner Nurse Practitioner 143 South Gibson St., Medford, WI 54451 2011-06-24
1033445036 Greg George Schoofs II Ophthalmology N 4803 Wigwam Ave, Medford, WI 54451 2009-10-26
1558511295 Aspirus Medford Hospital & Clinics, Inc. Clinic/Center 111 S Gibson St, Medford, WI 54451 2008-09-30
1013132430 Aspirus Medford Hospital & Clinics, Inc. Pharmacy 139 S Gibson St, Medford, WI 54451 2007-04-13
1356566707 Peter G Kiefer Pharmacist 139 South Gibson St, Medford, WI 54451 2007-04-13
1851426753 Steven Todd Dietzman Specialist/Technologist 103 South Gibson Street, Medford, WI 54451 2007-02-22
Find all providers in zip 54451

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952911091 Araceli Olivares Mciff Counselor 201 W 6th St Ste 101, Medford, OR 97501-2708 2020-08-04
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1326674417 Jean Yih Kingston Counselor Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 2020-03-20
1063059228 Chiron Center Incorporated Counselor 2909 N Phoenix Rd, Medford, OR 97504-9490 2019-12-06
1790321784 Cassandra F Lawrence Counselor 1503 Race Ave, Medford, NY 11763-1859 2019-11-25
1427691955 Claire Elizabeth Ann Vos Counselor 807 Impala Dr, Medford, WI 54451-1206 2019-10-28
1033768718 Hope Koram Counselor 15 Carberry St, Medford, MA 02155-1804 2019-09-05
1649767203 Kerry Ellis Counselor 190 High St Apt 210, Medford, MA 02155-3810 2018-04-19
1942701271 Winding Tree Counseling Services LLC Counselor 916 W 10th St Ste 100, Medford, OR 97501-3018 2018-02-22
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 54451

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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