Individual
DR. KELLY JAY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 PRAIRIE PKWY STE 101, CEDAR FALLS, IA 50613-8155
(319) 553-0828
(319) 277-7548
Mailing address
5100 PRAIRIE PKWY STE 101, CEDAR FALLS, IA 50613-8155
(319) 553-0828
(319) 277-7548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080091823
RR MEDICARE
IA
05
—
7097683
—
IA
05
—
8097683
—
IA
Enumeration date
01/12/2006
Last updated
10/03/2017
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