Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | CA |
NPI | 1073851986 |
---|---|
Provider Name | Gerald Arthur Scott |
First Address | Louisville, KY 40243 |
Second Address | Louisville, KY 40243-2318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2013 |
Last Update Date | 28/01/2013 |