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Individual
KENNETH JOHN SCHULTZ
Active
Individual
KENNETH JOHN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000753
MO
213E00000X
Podiatrist
12-00290
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003025406
—
KS
01
—
114053
BCBS OF KS
—
01
—
25031037
BCBS OF KANSAS CITY
—
Enumeration date
08/14/2006
Last updated
07/08/2007
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