Individual
BARBARA SCHRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2811 KLEMPNER WAY, LOUISVILLE, KY 40205
(502) 896-6355
(502) 896-9813
Mailing address
PO BOX 950266, LOUISVILLE, KY 40295-0266
(502) 896-6355
(502) 896-9813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32147
KY
207NP0225X
Pediatric Dermatology Physician
32147
KY
207NS0135X
Procedural Dermatology Physician
32147
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2442911000
PASSPORT ADVANTAGE
KY
01
—
50001302
PASSPORT
KY
05
—
64321474-00
—
KY
Enumeration date
10/11/2006
Last updated
06/09/2020
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