Healthcare Provider Details

I. General information

NPI: 1023135027
Provider Name (Legal Business Name): UREN,DR.K SCOTT DBA ATHENS PODIATRY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 W HOBBS ST
ATHENS AL
35611-1412
US

IV. Provider business mailing address

910 W HOBBS ST
ATHENS AL
35611-1412
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-2200
  • Fax:
Mailing address:
  • Phone: 256-232-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number138
License Number StateAL

VIII. Authorized Official

Name: KEVIN SCOTT UREN
Title or Position: PHYSCIAN
Credential:
Phone: 256-232-2200