Individual
KENNETH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
262 PIONEER ST, MENDON, MI 49072-9570
(269) 377-2575
Mailing address
262 PIONEER ST, MENDON, MI 49072-9570
(269) 377-2575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704327914
MI
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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