Scott, Kim Puckett
Scott, Kim Puckett is an sole proprietor health care provider with primary practice located at 1041 N Highland Ave , Murfreesboro TN 37130-2450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Scott, Kim Puckett can be contacted via phone (615) 617-3499.Contact Information
Primary practice address
1041 N Highland Ave
Murfreesboro TN 37130-2450
Phone: (615) 617-3499
Fax: (615) 617-3627
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD 031459 | Tennessee |
Profile Details
NPI number | 1225020563 |
---|---|
LBN Legal business name | Scott, Kim Puckett |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2005 |
Last updated | Dec 17th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225020563 | NPPES |
Tennessee | Other | G079880281 | MEDICARE |
Tennessee | MEDICAID | 3840636 | MEDICARE |
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