Individual
KEVIN RYAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Mailing address
153 BARK DR, OCEAN CITY, NJ 08226-1105
(609) 231-9760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ14998200
NJ
Other
Enumeration date
09/13/2023
Last updated
01/25/2024
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