Individual
KYLE MATHEW SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11277 VERNON PL STE 200, MEADVILLE, PA 16335-3719
(814) 724-1252
(814) 333-8871
Mailing address
1518 HENDERSONVILLE ROAD, SANDY LAKE, PA 16145
(724) 851-1303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP028625
PA
363LF0000X
Family Nurse Practitioner
Primary
SP028625
PA
Other
Enumeration date
11/27/2023
Last updated
08/22/2024
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