Provider Demographics
NPI:1154692341
Name:SCOTT, KARI LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 180
Mailing Address - Street 2:
Mailing Address - City:WILLSBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12996-0180
Mailing Address - Country:US
Mailing Address - Phone:518-963-4456
Mailing Address - Fax:518-963-7577
Practice Address - Street 1:29 SCHOOL LANE
Practice Address - Street 2:
Practice Address - City:WILLSBORO
Practice Address - State:NY
Practice Address - Zip Code:12996-0180
Practice Address - Country:US
Practice Address - Phone:518-963-4456
Practice Address - Fax:518-963-7577
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576939163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse