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Contact Information

KELLY L SCOGGINS, FNP
5310 W THUNDERBIRD RD
SUITE 110
GLENDALE, AZ85306-4706
 Phone: 602-865-4065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Pediatrics

163WP0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KELLY L SCOGGINS · (Female)

NPI Number 1427137157
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/03/2006
Last updated 02/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 124662
  • AZ License # RN124662
  • AZ Medicaid 826737
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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