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NPI Code Detail

MEDICARE: KRISTEN SCOTT

MEDICARE: KRISTEN SCOTT
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
11041C0700XClinical Social Worker0904005867VA

Other Identifiers

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

General Provider Information

NPI Number : 1861416919
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SCOTT
Provider Business Mailing Address
First Line : 107 S 5TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-3825
Country : US
Telephone Number : 804-819-4000
Fax Number :
Provider Business Practice Location Address
First Line : 107 S 5TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-3825
Country : US
Telephone Number : 804-819-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 05/15/2014

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Directions to “ KRISTEN SCOTT ” Practice Location

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