Individual provider · NPI-1

Dr. Scott Marvin Abraham, MD

Orthopaedic Surgery · Overland Park, KS

NPI number1265659296
StatusActive
Last updated in NPPESSep 30, 2022

Details

NPI
1265659296
Entity type
Individual (NPI-1)
Name
Dr. Scott Marvin Abraham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 19, 2007
Certification date
Sep 30, 2022
Last updated
Sep 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery04-33767KSYes
207X00000X Orthopaedic Surgery2009012771MO

Practice location

10777 Nall Ave Ste 300
Overland Park, KS 66211-1330

Phone 913-642-0200 · Fax 913-563-6699

Mailing address

10777 Nall Ave Ste 300
Overland Park, KS 66211-1330

Phone 913-642-0200 · Fax 913-563-6699

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