Basic Information
Provider Information
NPI: 1801280961
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAEF
FirstName: KASEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherCredential:  
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Mailing Information
Address1: 6564 GROVE RD
Address2:  
City: NEW FRANKLIN
State: OH
PostalCode: 44216
CountryCode: US
TelephoneNumber: 3308822407
FaxNumber:  
Practice Location
Address1: 1900 23RD ST
Address2:  
City: CUYAHOGA FALLS
State: OH
PostalCode: 44223
CountryCode: US
TelephoneNumber: 3309717225
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2015
LastUpdateDate: 07/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X34.012750OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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