MR. KIM MICHAEL SCHRADER LPN - NPI 1447377841 - Licensed Practical Nurse in Grand Rapids, MI

Q: What is Kim Schrader's NPI number?

The NPI number for Kim Schrader is 1447377841. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Kim Schrader's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Schrader was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Kim Michael Schrader Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIM MICHAEL SCHRADER LPN (NPI 1447377841) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703041028) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1447377841

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. KIM MICHAEL SCHRADERCredential: LPN

Location Address1256 WALKER AVE NWGrand Rapids, MI 49504-4067

Mailing Address1256 Walker Ave NwGrand Rapids, MI 49504-4067 · (616) 774-8789 · Fax (616) 774-0799

Phone(616) 774-8789

Fax(616) 774-0799

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447377841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703041028

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1256 WALKER AVE NW, Grand Rapids, MI 49504

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Other Identifiers 1

Other4703041028MI · Lpn License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDRIANNA BOERSEN

Behavior Technician