Individual
SCOTT SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15325 BOND ST, OVERLAND PARK, KS 66221
(620) 474-7996
Mailing address
15325 BOND ST, OVERLAND PARK, KS 66221-7888
(620) 474-7996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-21495
KS
207Q00000X
Family Medicine Physician
R9F66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045738
BLUE CROSS BLUE SHIELD
KS
05
—
100230130B
—
KS
01
—
618360
FIRST GUARD
KS
Enumeration date
04/25/2006
Last updated
05/14/2019
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