Scott, Kim L

Scott, Kim L is an individual health care provider with primary practice located at 6118 W Bluemound Rd , Milwaukee WI 53213-4143. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Scott, Kim L can be contacted via phone (414) 771-5606.

Contact Information

Primary practice address
6118 W Bluemound Rd Milwaukee WI 53213-4143
Phone: (414) 771-5606
Fax: (414) 774-2987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9601040 Wisconsin

Profile Details

NPI number 1518152826
LBN Legal business name Scott, Kim L
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 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 1518152826 NPPES
Wisconsin Other 9601040 STATE LICENSE NUMBER

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