Scott, Kevin Charles

Scott, Kevin Charles is an individual health care provider with primary practice located at 2401 W Cheltenham Ave , Wyncote PA 19095-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scott, Kevin Charles can be contacted via phone (215) 444-7471.

Contact Information

Primary practice address
2401 W Cheltenham Ave Wyncote PA 19095-2946
Phone: (215) 444-7471
Fax: (215) 695-2935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT-188510 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-436388 Pennsylvania

Profile Details

NPI number 1184842601
LBN Legal business name Scott, Kevin Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2007
Last updated Feb 10th, 2020 - 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 1184842601 NPPES
New Jersey MEDICAID 0201073
New Jersey MEDICAID 1023180950001

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