Individual
DR. KENNETH A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12150 30 MILE RD, STE 105, WASHINGTON, MI 48095-2035
(586) 336-7333
(586) 336-7332
Mailing address
12150 30 MILE RD, STE 105, WASHINGTON, MI 48095-2035
(586) 336-7333
(586) 336-7332
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013195
MI
207X00000X
Orthopaedic Surgery Physician
KS013195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4198242
—
MI
Enumeration date
02/10/2006
Last updated
12/07/2020
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