Individual
DR. KURT THOMAS SCAVELLI
Active
Individual
DR. KURT THOMAS SCAVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT211057
PA
207W00000X
Ophthalmology Physician
Primary
2022-01043
NC
207W00000X
Ophthalmology Physician
60971
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
2022-01043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427408228
—
NC
Enumeration date
06/13/2016
Last updated
07/15/2022
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