Individual
KASEY WYMER SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194853457
—
NC
05
—
5912839
—
NC
05
—
N26000
—
SC
Enumeration date
03/01/2007
Last updated
10/25/2020
Update your record
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