MEDICARE: DR. KATHLEEN DIANE SCOTT MSN

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	174400000X	Specialist	OH RN 288359	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720046691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN DIANE SCOTT MSN

Provider Business Mailing Address
First Line	:	275 SPRINGSIDE DR STE 100
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-4549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13930 EUCLID AVE
Second Line	:
City	:	E CLEVELAND
State	:	OH
Zip	:	44112-3804
Country	:	US
Telephone Number	:	216-761-6111
Fax Number	:	216-761-0140

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/10/2009

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