Scott, Kathleen Elizabeth

Scott, Kathleen Elizabeth is an individual health care provider with primary practice located at 2400 Moorpark Ave Occupational Med Clinic, San Jose CA 95128-2631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as her primary health care specialty. Scott, Kathleen Elizabeth can be contacted via phone (408) 885-2031.

Contact Information

Primary practice address
2400 Moorpark Ave Occupational Med Clinic San Jose CA 95128-2631
Phone: (408) 885-2031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X RN251655 California

Profile Details

NPI number 1508961202
LBN Legal business name Scott, Kathleen Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508961202 NPPES
California MEDICAID RN256155

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