| Kim E Scott, Md | |
|
1790 Sun Peak Dr Suite A101 Park City UT 84098-6559 | |
| (435) 645-0800 | |
| (435) 647-3003 |
| Full Name | Kim E Scott, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1790 Sun Peak Dr, Park City, Utah |
| Authorized Official Name and Position | Kim Ellen Scott (PRESIDENT) |
| Authorized Official Contact | 4356450800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim E Scott, Md Po Box 95970 South Jordan UT 84095-0970 Ph: (801) 352-9500 | Kim E Scott, Md 1790 Sun Peak Dr Suite A101 Park City UT 84098-6559 Ph: (435) 645-0800 |
| NPI Number | 1407812613 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 08/03/2011 |
| Medicare PECOS PAC ID | 0345288965 |
|---|---|
| Medicare Enrollment ID | O20050422000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407812613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra L Van Leuven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538109715 PECOS PAC ID: 9537051792 Enrollment ID: I20040325000332 |
| Provider Name | Kim E Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712376 PECOS PAC ID: 5890733489 Enrollment ID: I20050423000100 |
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