Individual
MRS. KIMONE SCOTT-KOTB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 265-0077
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9309442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161300
—
FL
Enumeration date
06/13/2018
Last updated
08/22/2018
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