Individual
DR. KIM EVELYN SCHULTHEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-2627
(770) 219-2627
Mailing address
322 E CENTRAL BLVD, UNIT 1009, ORLANDO, FL 32801-4324
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301087089
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036113869
IL
2086S0102X
Surgical Critical Care Physician
Primary
074354
GA
2086S0102X
Surgical Critical Care Physician
MD60429831
VA
2086S0102X
Surgical Critical Care Physician
MD60429831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36113869
ILLINIOS LICENSE
IL
01
—
4301087089
MICHIGAN LICENSE
MI
01
—
MD425491
PENNSYLVANIA LICENSE
PA
01
—
MD60429831
PROFESSIONAL LICENSE
WA
Enumeration date
03/02/2007
Last updated
10/25/2023
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