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NPI Code Detail

MEDICARE: SCOTT ALAN SEITZ APRN-BC

MEDICARE: SCOTT ALAN SEITZ APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1084387KY
2207Q00000XFamily Medicine Physician3003555KY
3261QR1300XRural Health Clinic/Center3003555KY
4363LF0000XFamily Nurse Practitioner3003555KY
5363L00000XNurse Practitioner3555PKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11084387OTHERKYRN LICENSE#
23003555OTHERKYAPRN LICENSE

General Provider Information

NPI Number : 1871528760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ALAN SEITZ APRN-BC
Provider Business Mailing Address
First Line : 138 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1116
Country : US
Telephone Number : 859-355-5253
Fax Number : 859-788-3916
Provider Business Practice Location Address
First Line : 138 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1116
Country : US
Telephone Number : 859-355-5253
Fax Number : 859-788-3916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 04/21/2023

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Directions to “ SCOTT ALAN SEITZ APRN-BC” Practice Location

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