Individual
DR. HENRY KEITH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
214 EAST 4TH ST, RUSSELLVILLE, AR 72801
(479) 968-3937
(479) 967-6731
Mailing address
214 EAST 4TH STREET, RUSSELLVILLE, AR 72801
(479) 968-3937
(479) 967-6731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2349
AR
152W00000X
Optometrist
OD1100234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148782722
—
AR
Enumeration date
07/12/2006
Last updated
08/31/2016
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