# KIM SCOTT MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kim E Scott, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407812613
- **Authorized official:** KIM ELLEN SCOTT MD (PRESIDENT)
- **Authorized official phone:** (435) 645-0800

## Contact information

- **Practice address:** 1790 SUN PEAK DR, SUITE A101, PARK CITY, UT 84098-6559
- **Practice address phone:** (435) 645-0800
- **Practice address fax:** (435) 647-3003
- **Mailing address:** PO BOX 95970, SOUTH JORDAN, UT 84095-0970
- **Mailing address phone:** (801) 352-9500
- **Mailing address fax:** (801) 352-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 08/03/2011