| Doctor Name: | DR. KKEVIN ELIOT JURO |
| NPI Number: | 1548366172 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 022290 |
| Business Practice Address: | 840 Tchoupitoulas St Apt 223 New Orleans, LA - 701303698 |
| Business Phone Number: | 5045293324 |
| Business Fax Number: | |
| Mailing Address: | 840 Tchoupitoulas St Apt 223, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701303698 |
| Phone Number: | 5045293324 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 022290 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |