Individual
JARED TREVOR SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3223 N WEBB RD STE 5, WICHITA, KS 67226-8176
(316) 618-8305
(316) 315-0514
Mailing address
3223 N WEBB ROAD, SUITE #5, WICHITA, KS 67226
(316) 618-8305
(316) 315-0514
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6371
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
0432642
KS
Other
Enumeration date
05/02/2007
Last updated
02/02/2017
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