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Individual
KELLY L SCHMIDT
Active
Individual
KELLY L SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
103082
WI
367A00000X
Advanced Practice Midwife
Primary
103082
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00224
MEDICA
MN
01
—
27G49SC
BCBS MN FACILITY
MN
05
—
39965600
—
WI
01
—
64Q39SC
BCBS MN PRO FEE
MN
05
—
960519300
—
MN
01
—
HP21327
HEALTHPARTNERS
MN
01
—
NA9031012739
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
02/02/2021
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