Provider Demographics
NPI:1639126261
Name:DUPONT, L. SCOTT (MS, DC)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:SCOTT
Last Name:DUPONT
Suffix:
Gender:M
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 BARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4602
Mailing Address - Country:US
Mailing Address - Phone:502-456-5353
Mailing Address - Fax:502-456-5373
Practice Address - Street 1:3318 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4602
Practice Address - Country:US
Practice Address - Phone:502-456-5353
Practice Address - Fax:502-456-5373
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY61118711OtherTAX ID NUMBER
KY61118711OtherTAX ID NUMBER