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Mr. Keegan Michael Scofield, NP
Family Nurse Practitioner in Corning, New York
NPI 1669192589

Keegan Michael Scofield is a Family Nurse Practitioner based in Corning, NY and is specialized in Family. Keegan Michael Scofield practices in Corning, NY and has the professional credentials of NP. The NPI Number for Keegan Michael Scofield is 1669192589 and holds a License No. 350032 (New York).

The current practice location address for Keegan Michael Scofield is 23 W Market St Ste 101, Corning, NY and can be reached out via phone at 607-846-3960 and via fax at 607-973-2309.

Location: 23 W Market St Ste 101, Corning, NY, 14830-2600
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Provider Profile Details
NPI Number
1669192589
Provider Name
Keegan Michael Scofield
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
23 W Market St Ste 101, Corning, NY, 14830-2600
Phone Number
607-846-3960
Fax Number
607-973-2309
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669192589 05 NY
institution
Provider Business Practice Location Address Details
Address
23 W Market St Ste 101
City
State
Zip
14830-2600
Phone Number
607-846-3960
Fax Number
607-973-2309
person
Provider Business Mailing Address Details
Address
23 W Market St Ste 101
City
State
Zip
14830-2600
Phone Number
607-846-3960
Fax Number
607-973-2309
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
350032 (New York)
Definition
Definition to come...
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