Provider Demographics
NPI:1861487480
Name:STRATHY, KEVIN MCLEOD (MD)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:MCLEOD
Last Name:STRATHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 US HWY 27 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870
Mailing Address - Country:US
Mailing Address - Phone:863-382-1371
Mailing Address - Fax:863-382-1378
Practice Address - Street 1:805 US HWY 27 SOUTH
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:863-382-1371
Practice Address - Fax:863-382-1378
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME860652086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271491400Medicaid
FL50216Medicare ID - Type Unspecified
FL271491400Medicaid