Individual
MR. KENNETH JAMES SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Contact information
Practice address
333 W. 89TH AVENUE, SUITE W-5, MERRILLVILLE, IN 46410
(219) 755-4448
Mailing address
333 W 89TH AVE, SUITE W-5, MERRILLVILLE, IN 46410-7073
(219) 755-4448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28193763A
IN
Other
Enumeration date
06/01/2016
Last updated
06/06/2018
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