| Doctor Name: | KEVIN DONALD SCOTT |
| NPI Number: | 1033342803 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN198193 |
| Business Practice Address: | 705 N Division St Nw Bldge 315 Rome, GA - 301651454 |
| Business Phone Number: | 7068025870 |
| Business Fax Number: | 7068020654 |
| Mailing Address: | 1620 Hickory St, Suite 404 DALTON |
| State: | GA |
| Postal Code: | 307202312 |
| Phone Number: | 7062705002 |
| Fax Number: | 7062705111 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 08/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | RN198193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |