Individual
KEVIN G SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, RDCS, RVT
Contact information
Practice address
639A S WASHINGTON AVE, LEBANON, MO 65536-3618
(417) 209-3785
(833) 792-4156
Mailing address
1700 S CAMPBELL AVE STE J, SPRINGFIELD, MO 65807-2000
(417) 209-5700
(833) 792-4156
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
013648
MO
2471V0105X
Vascular Sonography Radiologic Technologist
013648
MO
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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