Proctor, Kerry Anne Scully
Proctor, Kerry Anne Scully is an individual health care provider with primary practice located at 1700 E 19Th St , The Dalles OR 97058-3317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Proctor, Kerry Anne Scully can be contacted via phone (541) 296-1111.Contact Information
Primary practice address
1700 E 19Th St
The Dalles OR 97058-3317
Phone: (541) 296-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 36695 | Iowa |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5223915-1205 | Utah |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD27633 | Oregon |
Profile Details
| NPI number | 1235353863 |
|---|---|
| LBN Legal business name | Proctor, Kerry Anne Scully |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Dec 14th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235353863 | NPPES |
| Oregon | MEDICAID | 8494999 | |
| Oregon | Other | R0000ZBBWZ |
Popular Providers
-
Meade, Paul Samuel
Mount St. Mary'S Hospital Laboratory 5300 Military Rd, Lewiston NY 14092-2061 -
Chand, Eric M
1499 Fair Rd , Statesboro GA 30458-1683 -
Tulecke, Mark A
1 Hampton Rd Unit 208, Exeter NH 03833-4849 -
Covington, Steve M
2701 N Decatur Rd , Decatur GA 30033-5918 -
Huang, Hahn
1700 E 19Th St , The Dalles OR 97058-3317 -
Hom, Steven G
311 W 8Th St Ne , Rome GA 30165-2723 -
Dadmanesh, Farnaz
8700 Beverly Blvd Rm 8725, West Hollywood CA 90048-1804 -
Gomez, Manuel Antonio
320 W Main St , White Sulphur Springs WV 24986-2414