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Individual

STEPHEN M SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 COMMERCIAL DRIVE, ALEXANDRIA, KY 41001
(859) 635-9440
(859) 448-2622
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 635-9440
(859) 448-2622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21472
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101222
OH
01
080092522
RAILROAD MEDICARE
KY
05
64214729
KY
01
P00839870
RAILROAD MEDICARE
KY
Enumeration date
06/16/2006
Last updated
09/11/2018
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