Preston, Kevin Scott

Preston, Kevin Scott is an sole proprietor health care provider with primary practice located at 490 Dunlop Ln , Clarksville TN 37040-5007. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Preston, Kevin Scott can be contacted via phone (931) 245-8622.

Contact Information

Primary practice address
490 Dunlop Ln Clarksville TN 37040-5007
Phone: (931) 245-8622
Fax: (931) 245-8663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11014044A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51131 Tennessee

Profile Details

NPI number 1437313202
LBN Legal business name Preston, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2008
Last updated Nov 19th, 2021 - about 5 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 1437313202 NPPES
Tennessee MEDICAID Q014444

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