Individual
KEVIN L ELVIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-8873
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536
(859) 323-8873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5738
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8211853
UNITED CONCORDIA PROVIDER
KY
Enumeration date
02/02/2007
Last updated
10/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us