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
Fax: (615) 617-3627
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225020563 NPPES
Tennessee Other G079880281 MEDICARE
Tennessee MEDICAID 3840636 MEDICARE

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