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NPI Code Detail

MEDICARE: KELLEY SCOTT

MEDICARE: KELLEY SCOTT
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942800412
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY SCOTT
Provider Business Mailing Address
First Line : 27 MIDWAY LOOP
Second Line :
City : ELKINS
State : WV
Zip : 26241-1373
Country : US
Telephone Number : 304-636-5252
Fax Number : 304-591-4521
Provider Business Practice Location Address
First Line : 27 MIDWAY LOOP
Second Line :
City : ELKINS
State : WV
Zip : 26241-1373
Country : US
Telephone Number : 304-636-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “ KELLEY SCOTT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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