Individual
DR. KENNETH WILLIAM SCHULZE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2012 W ELM STREET, RAWLINS, WY 82301
(307) 324-6022
(307) 324-3835
Mailing address
2012 W ELM STREET, RAWLINS, WY 82301
(307) 324-6022
(307) 324-3835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5186A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00972001
BLUE CROSS BLUE SHIELD
WY
05
—
101847700
—
WY
05
—
106366900
—
WY
01
—
20012453
RR MEDICARE
WY
01
—
836000025-24
TRICARE
WY
Enumeration date
11/08/2006
Last updated
07/09/2007
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