Individual
DR. KEVIN TYLER SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2782 N HIGHLAND AVE, STE C, JACKSON, TN 38305-1797
(731) 664-5354
(731) 664-5305
Mailing address
2782 N HIGHLAND AVE, STE C, JACKSON, TN 38305-1797
(731) 664-5354
(731) 664-5305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3679657
—
TN
01
—
4021590
BLUE CROSS
TN
01
—
5386529
AETNA
TN
Enumeration date
06/27/2005
Last updated
02/03/2010
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