Individual
DR. KEVIN SCOTT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 556-3164
(916) 733-5920
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A71336
CA
Other
Enumeration date
06/01/2006
Last updated
12/31/2013
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