Individual
KENNETH JOHN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3420 SADDLE RIDGE DR, INDEPENDENCE, MO 64057-3375
(816) 304-1122
(816) 224-9273
Mailing address
3420 SADDLE RIDGE DR, INDEPENDENCE, MO 64057-3375
(816) 304-1122
(816) 224-9273
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000753
MO
213E00000X
Podiatrist
12-00290
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003025406
—
KS
01
—
114053
BCBS OF KS
—
01
—
25031037
BCBS OF KANSAS CITY
—
Enumeration date
08/14/2006
Last updated
07/08/2007
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