Individual
DR. KEVIN MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1097 N JACKSONMILL AVE, KUNA, ID 83634-2086
(208) 519-7171
(208) 382-3668
Mailing address
1097 N JACKSONMILL AVE, KUNA, ID 83634-2086
(208) 519-7171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3826
ID
Other
Enumeration date
10/03/2006
Last updated
06/01/2026
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