Provider Demographics
NPI:1750343752
Name:ELO, DARIN J (MD)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:J
Last Name:ELO
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 1:3511 CLINTON PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2196
Mailing Address - Country:US
Mailing Address - Phone:785-838-1500
Mailing Address - Fax:785-838-1540
Practice Address - Street 1:3511 CLINTON PL
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2196
Practice Address - Country:US
Practice Address - Phone:785-838-1500
Practice Address - Fax:785-838-1540
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS428284207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSJ67A355Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER