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Individual

KENNETH M SCOTT

Active
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Individual

KENNETH M SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5965
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000817
MEDICA
SD
05
10024989000
NE
01
1437187630
AETNA
SD
01
36376
SANFORD HEALTH PLAN
SD
01
473L8SC
BLUE CROSS BLUE SHIELD OF MINNESOTA
SD
01
4993557
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA
SD
05
6520490
SD
01
721560818022
AMERICA'S PPO/ARAZ
SD
01
9214052
DAKOTACARE
SD
01
HP3956
HEALTHPARTNERS
SD
01
OT742SC
BLUE CROSS BLUE SHIELD OF MINNESOTA
MN
Enumeration date
06/28/2006
Last updated
01/18/2023
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