Russell, Scott Stewart

Russell, Scott Stewart is an individual health care provider with primary practice located at 5405 W 151St St , Leawood KS 66224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Scott Stewart can be contacted via phone (913) 323-8830.

Contact Information

Primary practice address
5405 W 151St St Leawood KS 66224
Phone: (913) 323-8830
Fax: (913) 323-8831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0429142 Kansas

Profile Details

NPI number 1396771333
LBN Legal business name Russell, Scott Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 13th, 2019 - about 7 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 1396771333 NPPES
Kansas MEDICAID 100426440H
Kansas Other G93000461

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