Scott, Kevin Tyler

Scott, Kevin Tyler is an sole proprietor health care provider with primary practice located at 2782 N Highland Ave Ste C, Jackson TN 38305-1797. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Scott, Kevin Tyler can be contacted via phone (731) 664-5354.

Contact Information

Primary practice address
2782 N Highland Ave Ste C Jackson TN 38305-1797
Phone: (731) 664-5354
Fax: (731) 664-5305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1371 Tennessee

Profile Details

NPI number 1922004688
LBN Legal business name Scott, Kevin Tyler
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Feb 3rd, 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 1922004688 NPPES
Tennessee Other 5386529 AETNA
Tennessee Other 4021590 AETNA
Tennessee MEDICAID 3679657 AETNA

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