Individual
KIMBERLY MAE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 W 143RD ST APT 236, BURNSVILLE, MN 55306-7115
(952) 303-2031
Mailing address
1441 W 143RD ST APT 236, BURNSVILLE, MN 55306-7115
(952) 303-2031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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