Individual
DR. KEVIN MICHAEL SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC04 2610, ALBUQUERQUE, NM 87131
(505) 277-5151
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC04 2610, ALBUQUERQUE, NM 87131
(505) 277-5151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060802081
BOARD OF CERTIFICATION
—
01
—
718
NM ATHLETIC TRAINER LICENSE
NM
01
—
AT. 0001242
CO REGISTRATION
CO
Enumeration date
07/10/2008
Last updated
07/28/2023
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