Healthcare Provider Details

I. General information

NPI: 1497835045
Provider Name (Legal Business Name): KEVIN M. STRATHY, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 US HWY 27 SOUTH
SEBRING FL
33870
US

IV. Provider business mailing address

805 US HWY 27 SOUTH
SEBRING FL
33870
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-1371
  • Fax: 863-382-1378
Mailing address:
  • Phone: 863-382-1371
  • Fax: 863-382-1378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME86065
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME86065
License Number StateFL

VIII. Authorized Official

Name: MR. KEVIN M. STRATHY
Title or Position: PRESIDENT
Credential: MD
Phone: 863-382-1371