| Kevin M Elliott | |
|
327 Deinhard Ln Mccall ID 83638-4703 | |
| (208) 634-1214 | |
| Not Available |
| Full Name | Kevin M Elliott |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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