Provider Demographics
NPI:1649043241
Name:MCELROY, KYRA (EDD)
Entity type:Individual
Prefix:DR
First Name:KYRA
Middle Name:
Last Name:MCELROY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 132ND PL E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-6924
Mailing Address - Country:US
Mailing Address - Phone:941-224-8397
Mailing Address - Fax:
Practice Address - Street 1:11031 GATEWOOD DR
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-4916
Practice Address - Country:US
Practice Address - Phone:941-224-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other