Scott, Kevin R

Scott, Kevin R is an sole proprietor health care provider with primary practice located at 3700 Joseph Siewick Dr Ste. 400, Fairfax VA 22033-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Scott, Kevin R can be contacted via phone (703) 620-4300.

Contact Information

Primary practice address
3700 Joseph Siewick Dr Ste. 400 Fairfax VA 22033-1744
Phone: (703) 620-4300
Fax: (730) 620-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101047061 Virginia

Profile Details

NPI number 1962476713
LBN Legal business name Scott, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Feb 25th, 2010 - about 15 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 1962476713 NPPES
Virginia MEDICAID 006305245

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