person
Kelli L Scott, PA
Medical Physician Assistant in Fountain, Colorado
NPI 1104896448

Kelli L Scott is a Medical Physician Assistant based in Colorado Springs, CO and is specialized in Medical. Kelli L Scott practices in Fountain, CO and has the professional credentials of PA. The NPI Number for Kelli L Scott is 1104896448 and holds a License No. 01042 (Colorado).

The current practice location address for Kelli L Scott is 350 Lyckman Pl, Fountain, CO and can be reached out via phone at 719-632-5700.

Location: 350 Lyckman Pl, Fountain, CO, 80917-5147
person
Provider Profile Details
NPI Number
1104896448
Provider Name
Kelli L Scott
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
350 Lyckman Pl, Fountain, CO, 80917-5147
Phone Number
719-632-5700
Fax Number
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
426914 01 KS BLUE CROSS/BLUE SHIELD
461466 01 KS CHILDRENS MERCY FAMILY HP
89773373 05 CO
institution
Provider Business Practice Location Address Details
Address
350 Lyckman Pl
City
State
Zip
80817-2861
Phone Number
719-632-5700
Fax Number
person
Provider Business Mailing Address Details
Address
350 Lyckman Pl
City
State
Zip
80817-2861
Phone Number
719-632-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01042 (Kansas)
Definition
Definition to come...
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