Provider Information for 1235942475
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KASSIE ANN SCOTT
Sex: Female
NPI: 1235942475
Last Updated: 2025-01-30
Certification Date: 2025-01-30
Certification Date: 2025-01-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235942475 | ||||||||
| Enumeration Date | 2025-01-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5520 SHAMROCK ST MILTON, FL 32570-7726 United States Phone: 731-676-9613 | Fax: | ||||||||
| Primary Practice Address | 5520 SHAMROCK ST MILTON, FL 32570-7726 United States Phone: 731-676-9613 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|