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Individual

REILLY SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31505 W 85TH ST, DE SOTO, KS 66018-7804
(785) 393-8537
Mailing address
31505 W 85TH ST, DE SOTO, KS 66018-7804
(785) 393-8537

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251B00000X
KS
Enumeration date
05/24/2019
Last updated
05/24/2019
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