Scott, Kenneth L

Scott, Kenneth L is an individual health care provider with primary practice located at 2525 Desales Ave , Chattanooga TN 37404-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Scott, Kenneth L can be contacted via phone (423) 495-2620.

Contact Information

Primary practice address
2525 Desales Ave Chattanooga TN 37404-1161
Phone: (423) 495-2620
Fax: (423) 495-7887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 850 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 850 Tennessee

Profile Details

NPI number 1083699524
LBN Legal business name Scott, Kenneth L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 18th, 2007 - about 18 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 1083699524 NPPES
Georgia MEDICAID 056002413A

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