Individual
MR. KIM L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6118 W BLUEMOUND RD, MILWAUKEE, WI 53213-4143
(414) 771-5606
(414) 774-2987
Mailing address
6118 W BLUEMOUND RD, MILWAUKEE, WI 53213-4143
(414) 771-5606
(414) 774-2987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9601040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9601040
STATE LICENSE NUMBER
WI
Enumeration date
09/10/2007
Last updated
09/10/2007
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