IndividualActive
Kevin Scyoc, CEO, PM-C, COHC, RMA
NPI 1821623000 · Other Specialist/Technologist · Jacksonville, NC
Provider details
- NPI number
- 1821623000
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CEO, PM-C, COHC, RMA
- Sex
- Male
- Sole proprietor
- No
- License
- ON99XS11X5 (NC)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Speech, Language and Hearing Service Providers
Practice location
461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone: (910) 333-0283
Fax: (910) 333-0513
Approximate (ZIP-level) locationGet directions
Mailing address
461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Registry dates
- Enumerated
- 2020-03-07
- Last updated
- 2022-05-07
- Certified
- 2022-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.