Provider Demographics
NPI:1871346619
Name:SCHEKALL-CALDARERA, SHELLEY ANN
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:ANN
Last Name:SCHEKALL-CALDARERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 N SHADOW ROCK DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-5607
Mailing Address - Country:US
Mailing Address - Phone:620-727-7271
Mailing Address - Fax:
Practice Address - Street 1:4013 N RIDGE RD STE 220
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8823
Practice Address - Country:US
Practice Address - Phone:316-665-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83033-052363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health