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NPI Code Detail

MEDICARE: KIMBERLY RENEE SCOTT FNP-C

MEDICARE: KIMBERLY RENEE SCOTT FNP-C
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
1363LF0000XFamily Nurse PractitionerAP135714TX

General Provider Information

NPI Number : 1023512480
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY RENEE SCOTT FNP-C
Provider Business Mailing Address
First Line : 4200 S LAKE FOREST DR STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7346
Country : US
Telephone Number : 214-592-0356
Fax Number : 214-504-9358
Provider Business Practice Location Address
First Line : 4200 S LAKE FOREST DR STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7346
Country : US
Telephone Number : 214-592-0356
Fax Number : 214-504-9358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 03/21/2018

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