Individual
KAITLYN ALYSE SCHIMMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1080 BEECHER XING N STE A, COLUMBUS, OH 43230-4577
(556) 876-2278
Mailing address
1080 BEECHER XING N STE A, COLUMBUS, OH 43230-4577
(556) 876-2278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
50.005251RX
OH
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TR951636
DRIVER LICENSE
OH
Enumeration date
07/24/2017
Last updated
02/21/2025
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