Individual
KEVIN SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-4820
(443) 444-5957
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-4820
(443) 444-5957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D38543
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532011900
—
MD
01
—
60609101
BLUE CROSS
MD
01
—
P00214341
RAILROAD MEDICARE
MD
Enumeration date
06/01/2006
Last updated
04/02/2009
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