Scott, Kevin C

Scott, Kevin C is an individual health care provider with primary practice located at 325 E H St , Iron Mountain MI 49801-4760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Scott, Kevin C can be contacted via phone (067) 774-3300.

Contact Information

Primary practice address
325 E H St Iron Mountain MI 49801-4760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301085671 Michigan
Other Service Providers / Specialist 174400000X 4301085671 Michigan

Profile Details

NPI number 1871676163
LBN Legal business name Scott, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 13th, 2020 - about 4 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 1871676163 NPPES
Michigan Other 34-0-22-1066-2 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4763830 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4940774 BLUE CROSS BLUE SHIELD

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