Individual
KATHLEEN ELIZABETH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 MOORPARK AVE, OCCUPATIONAL MED CLINIC, SAN JOSE, CA 95128-2631
(408) 885-2031
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN251655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN256155
—
CA
Enumeration date
09/14/2006
Last updated
09/12/2007
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