Individual
KELLY JOY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
141155
MO
363LF0000X
Family Nurse Practitioner
Primary
141155
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425773710
—
MO
Enumeration date
06/14/2006
Last updated
05/03/2019
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