MEDICARE: KEVIN W SCOTT DO

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
1	207Q00000X	Family Medicine Physician	33827	CO

General Provider Information

NPI Number	:	1598731168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN W SCOTT DO

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	303-332-0212
Fax Number	:	303-341-4480

Provider Business Practice Location Address
First Line	:	4500 E 9TH AVE STE 320
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3922
Country	:	US
Telephone Number	:	303-332-0212
Fax Number	:	303-341-4480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	02/13/2025

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