Individual
MS. REBECCA JO SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 ALEXANDRIA PIKE STE 320, SOUTHGATE, KY 41071-3243
(859) 781-1310
(859) 572-3021
Mailing address
29861 NETWORK PL, CHICAGO, IL 60673-1298
(888) 317-6934
(405) 792-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XTK988M98771
ANTHEM
KY
Enumeration date
05/14/2019
Last updated
08/06/2019
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