Individual
KENNETH ROBERT SCHULZENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11279 PERRY HWY STE 500, WEXFORD, PA 15090-9303
(412) 478-2905
Mailing address
11279 PERRY HWY STE 500, WEXFORD, PA 15090-9303
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN624648
PA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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