Provider Demographics
NPI:1790235638
Name:KAYATIN, SCOTT C (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:KAYATIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 E COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2004
Mailing Address - Country:US
Mailing Address - Phone:937-593-7711
Mailing Address - Fax:937-688-3534
Practice Address - Street 1:412 E COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2004
Practice Address - Country:US
Practice Address - Phone:937-593-7711
Practice Address - Fax:937-688-3534
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor