Individual
TIMOTHY R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4071 TATES CREEK CENTRE DR, SUITE 100, LEXINGTON, KY 40517-3062
(859) 273-3888
(859) 977-0170
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64211386
—
KY
Enumeration date
08/03/2005
Last updated
12/02/2020
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