Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME0060384 | FL |
NPI | 1033221510 |
---|---|
Provider Name | Dr. Kyle A Parrow |
First Address | Lecanto, FL 34461-9191 |
Second Address | Lecanto, FL 34461-9191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
054680100 | (05) | FL |
1033221510 | NPI (01) | |
12543 | BCBS (01) | FL |
180024625 | RAILROAD MEDICARE (01) | |
E64356 | (02) | FL |