Scott-Mckinney, Stacy Denise

Scott-Mckinney, Stacy Denise is an individual health care provider with primary practice located at 13900 Laurel Lakes Avenue Suite 240, Laurel MD 20707-5046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scott-Mckinney, Stacy Denise can be contacted via phone (301) 498-1900.

Contact Information

Primary practice address
13900 Laurel Lakes Avenue Suite 240 Laurel MD 20707-5046
Fax: (301) 497-9885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0041884 Maryland

Profile Details

NPI number 1609816768
LBN Legal business name Scott-Mckinney, Stacy Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 7th, 2012 - about 12 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 1609816768 NPPES
Maryland MEDICAID 199411500

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