Kevin M Elliott | |
327 Deinhard Ln Mccall ID 83638-4703 | |
(208) 634-1214 | |
Not Available |
Full Name | Kevin M Elliott |
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Speciality | Dentist |
Location | 327 Deinhard Ln, Mccall, Idaho |
Authorized Official Name and Position | Kevin Michael Elliott (D.M.D.) |
Authorized Official Contact | 2086341214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kevin M Elliott Po Box 990 Mccall ID 83638-0990 Ph: (208) 634-1214 | Kevin M Elliott 327 Deinhard Ln Mccall ID 83638-4703 Ph: (208) 634-1214 |
NPI Number | 1184852758 |
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Provider Enumeration Date | 06/23/2009 |
Last Update Date | 06/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184852758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D3826 (Idaho) | Primary |
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