Scoggins, Kelly L

Scoggins, Kelly L is an individual health care provider with primary practice located at 5310 W Thunderbird Rd Suite 110, Glendale AZ 85306-4706. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Nursing Service Providers / Registered Nurse. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Scoggins, Kelly L can be contacted via phone (602) 865-4065.

Contact Information

Primary practice address
5310 W Thunderbird Rd Suite 110 Glendale AZ 85306-4706
Phone: (602) 865-4065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN124662 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 124662 Arizona
Nursing Service Providers / Registered Nurse 163W00000X 124662 Arizona

Profile Details

NPI number 1427137157
LBN Legal business name Scoggins, Kelly L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 4th, 2014 - about 10 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 1427137157 NPPES
Arizona MEDICAID 826737

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