Kelly Lynn Scott, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

198700-1 Issued in NY

Legal business name

KELLY LYNN SCOTT, MD

Practice address

3 Lyon PL
Suite 200
Ogdensburg, NY 13669-2590

Phone

(315) 394-7542

Fax

(315) 394-8995

NPI assigned

Nov 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Lynn Scott, M.D.

Title

Physician

Phone

(315) 394-7542

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1861672073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-394-7542",
            "fax_number": "315-394-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-394-7542",
            "fax_number": "315-394-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY LYNN SCOTT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-394-7542",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198700-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01650971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Kampnich
• Karen Kantor, DO
• Aleksandr Karabats
• Martha A Keesler, LMSW
• Anitra E Kellar, REGISTERED PROFESSIO
• Nicole Marie Kennedy, PH-MHC
• Syeannah M Kennedy
• Melissa Kenney, PSYD
• Srinivas Ketharaju, MD
• Keystone America

• Internal Medicine Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.