Individual
KATHERINE M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST, SUITE M-005, KALAMAZOO, MI 49007-5341
(269) 341-6350
(269) 341-8580
Mailing address
601 JOHN ST, SUITE M-005, KALAMAZOO, MI 49007-5341
(269) 341-6350
(269) 341-8580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50967
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/27/2007
Last updated
11/27/2023
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