Individual
DR. SCOTT KENNETH KINDSFATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 BELLEVUE AVE, TRENTON, NJ 08618-4502
(609) 396-5800
(609) 396-5528
Mailing address
2 CAPITAL WAY, STE 220, PENNINGTON, NJ 08534-2523
(609) 303-0747
(609) 303-0771
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA56656
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056735000
KEYSTONE
NJ
01
—
1096898
HORIZON NJ HEALTH
NJ
01
—
1462388
UNITED HC/RAILROAD MC
NJ
01
—
1523708
UMWA
NJ
01
—
222369868
HORIZON BC/BS OF NJ
NJ
05
—
7273100
—
NJ
01
—
765518
AETNA
NJ
01
—
F17206
HNET
NJ
Enumeration date
07/27/2006
Last updated
05/04/2021
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