Individual
KENNETH G SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 392-3211
Mailing address
PO BOX 58, LIMA, OH 45802-0058
(866) 942-0799
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01049416
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200386650A
—
IN
Enumeration date
08/19/2006
Last updated
03/10/2021
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