Individual
KEVIN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5650 SPRAGUE ST, PHILADELPHIA, PA 19138-1744
(215) 951-4008
Mailing address
120 E STREET RD APT A2-3, WARMINSTER, PA 18974-3404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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