Kirk D Scattergood in Green Bay - Ophthalmology

Kirk D Scattergood - NPI 1790702652

Kirk D Scattergood is a Ophthalmology in Green Bay, Wisconsin. Kirk D Scattergood practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kirk D Scattergood is 1790702652. The last update date is 2022-04-07.

Kirk D Scattergood's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9203277005. The mailing address for Kirk D Scattergood is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk D Scattergood
Address 164 N Broadway, Green Bay, Wisconsin
Phone Number 9204909046
Fax Number 9203277005
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790702652
Provider Enumeration Date 2006-07-16
Last Updated Date 2022-04-07

Provider Mailing Address Detail

Address 164 N Broadway
City Green Bay
State Wisconsin (WI)
Post Code 543032728
Phone Number 9204909046
Fax Number 9203277005

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 36086
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32078200 WI --

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FAQs about Kirk D Scattergood

What is the unique 10-digit identifier code assigned to Kirk D Scattergood by the Centers for Medicare & Medicaid Services?

The Kirk D Scattergood has been issued the NPI (National Provider Identifier) 1790702652 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kirk D Scattergood located?

The Kirk D Scattergood is located at 164 N Broadway, Green Bay, WI 543032728.

What is Kirk D Scattergood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kirk D Scattergood is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.

When was the Kirk D Scattergood's 1790702652 issued?

The Kirk D Scattergood's 1790702652 was issued on 2006-07-16.

When was the information related to Kirk D Scattergood most recently updated or refreshed?

The details pertaining to the Kirk D Scattergood, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-07.

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