Kenly, Michael Scott

Kenly, Michael Scott is an individual health care provider with primary practice located at 511 Bath St , Santa Barbara CA 93101-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kenly, Michael Scott can be contacted via phone (805) 963-9377.

Contact Information

Primary practice address
511 Bath St Santa Barbara CA 93101-3403
Phone: (805) 963-9377
Fax: (805) 962-2154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 62730 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A113590 California

Profile Details

NPI number 1548445307
LBN Legal business name Kenly, Michael Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2007
Last updated Aug 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548445307 NPPES
California Other EJ158Z SOUTHERN MEDICARE PTAN
California Other EJ158Y SOUTHERN MEDICARE PTAN
California Other A113590 SOUTHERN MEDICARE PTAN

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