Kendrick, Scott Alan

Kendrick, Scott Alan is an individual health care provider with primary practice located at 511 Paladin Dr , Greenville NC 27834-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kendrick, Scott Alan can be contacted via phone (252) 752-8880.

Contact Information

Primary practice address
511 Paladin Dr Greenville NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2008-00801 North Carolina

Profile Details

NPI number 1104042365
LBN Legal business name Kendrick, Scott Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 20th, 2011 - about 13 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 1104042365 NPPES
North Carolina Other 149HA BCBS OF NC
North Carolina MEDICAID 5909745 BCBS OF NC

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