Doctor Name: | MILTON JOHN MCKELVIE |
NPI Number: | 1619210085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | VM3325 |
Business Practice Address: | 2015 Del Prado Blvd S. Cape Coral, FL - 33990 |
Business Phone Number: | 2395746171 |
Business Fax Number: | |
Mailing Address: | 920 Country Club Blvd., CAPE CORAL |
State: | FL |
Postal Code: | 33990 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | VM3325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |