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Individual
SCOTT SELLERS
Active
Individual
SCOTT SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-21495
KS
207Q00000X
Family Medicine Physician
R9F66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045738
BLUE CROSS BLUE SHIELD
KS
05
—
100230130B
—
KS
01
—
618360
FIRST GUARD
KS
Enumeration date
04/25/2006
Last updated
05/14/2019
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