National Provider Identifier
Keegan Michael Scofield, NP
Keegan Michael Scofield, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Corning, NY and a listed phone number of (607) 846-3960.
Profile Overview
- NPI
- 1669192589
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 31, 2022
- Last Updated
- September 08, 2022
Practice Location
- 23 W Market St Ste 101
- Corning, NY 14830-2600
Phone: (607) 846-3960
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1669192589
- Entity Type
- Individual
- Last Name
- Scofield
- First Name
- Keegan
- Middle Name
- Michael
- Name Prefix
- Mr.
- Credential
- NP
- Mailing Street Address
- 23 W Market St Ste 101
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2600
- Mailing Country
- US
- Mailing Phone
- (607) 846-3960
- Mailing Fax
- (607) 973-2309
- Practice Street Address
- 23 W Market St Ste 101
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2600
- Practice Country
- US
- Practice Phone
- (607) 846-3960
- Practice Fax
- (607) 973-2309
- Enumeration Date
- August 31, 2022
- Last Updated
- September 08, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 1669192589 (NY)