Scott, Kenroy

Scott, Kenroy is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Scott, Kenroy can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3536
Phone: (315) 476-7921
Fax: (315) 475-1448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 196008 New York

Profile Details

NPI number 1790749703
LBN Legal business name Scott, Kenroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 17th, 2010 - about 14 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 1790749703 NPPES
New York MEDICAID 01592350

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