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Contact Information

KEVIN B SCAMMELL, MD
215 W WASHINGTON STREET
GRAFTON, WI53024
 Phone: 262-375-3700
 Fax: 262-376-6020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KEVIN B SCAMMELL · (Male)

NPI Number 1316979503
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 11/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 31910
  • WI Medicaid 31685600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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