Individual
KAYDE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 482-4440
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006999A
IN
207P00000X
Emergency Medicine Physician
5101026799
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
02/15/2023
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