Mcelroy, Kevin
Mcelroy, Kevin is an individual health care provider with primary practice located at 50 E Carmel Dr , Meridian ID 83646-3301. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mcelroy, Kevin can be contacted via phone (208) 888-5252.Contact Information
Primary practice address
50 E Carmel Dr
Meridian ID 83646-3301
Phone: (208) 888-5252
Fax: (208) 884-4280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODP653 | Idaho |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ODP653 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP653 | Idaho |
Profile Details
| NPI number | 1528154242 |
|---|---|
| LBN Legal business name | Mcelroy, Kevin |
| Credentials | OD, PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Feb 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528154242 | NPPES |
| Idaho | MEDICAID | 003410000 | |
| Idaho | Other | 721912 | |
| Idaho | Other | V7169 | |
| Idaho | Other | 82304 |
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