Healthcare Provider Details

I. General information

NPI: 1164346631
Provider Name (Legal Business Name): KERI BETH SCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E US ROUTE 36
PIQUA OH
45356-8201
US

IV. Provider business mailing address

145 E US ROUTE 36
PIQUA OH
45356-8201
US

V. Phone/Fax

Practice location:
  • Phone: 937-773-6540
  • Fax: 937-778-2995
Mailing address:
  • Phone: 937-773-6540
  • Fax: 937-778-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.286368
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: