Male or Other

Kevin C. Scott M.D.

Urology Physician in Iron Mountain, MI(View on Map)

Full Name

Kevin C Scott M.D.

NPI Number

1871676163

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/23/2006

Specialties

(Taxonomies)

Code

208800000X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

4301085671

Contact
Information

Purpose

Mailing
Location

Address

325 E H ST
325 E H ST

City

Iron Mountain
Iron Mountain

State

MI
MI

Postal Code

49801-4760
49801-4760

Country

US
US

Telephone Number

(906) 774-3300
(067) 774-3300

Identifiers

Identifier

34-0-22-1066-2
4763830
4940774

Identifier State

MI
MI
MI

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/13/2020

Provider Address

Other Urology Physician in Iron Mountain, Michigan:

Male or Other

Kirk Susott M.D.

Iron Mountain, MI

Specialty: Urology Physician (Primary)