Clive, Kevin Scott

Clive, Kevin Scott is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 2 , Silverdale WA 98383-7662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clive, Kevin Scott can be contacted via phone (564) 240-4110.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 2 Silverdale WA 98383-7662
Phone: (564) 240-4110
Fax: (564) 240-4088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 61486-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60494758 Washington

Profile Details

NPI number 1780889808
LBN Legal business name Clive, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Apr 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780889808 NPPES
Washington MEDICAID 2043479

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