Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1108 | OH |
NPI | 1922096288 |
---|---|
Provider Name | Kirk L Schoenman |
First Address | Worthington, OH 43085 |
Second Address | Worthington, OH 43085 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 15/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0616275 | (05) | OH |
T48335 | (02) | OH |