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Individual
KELLY SCOTT
Active
Individual
KELLY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
PA13911
TX
363A00000X
Physician Assistant
Primary
PA13911
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2019
Last updated
07/15/2021
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