Healthcare Provider Details

I. General information

NPI: 1356993554
Provider Name (Legal Business Name): AARON M MCELWEE HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9906 QUARRY RD
MILFORD KS
66514-9295
US

IV. Provider business mailing address

9906 QUARRY RD
MILFORD KS
66514-9295
US

V. Phone/Fax

Practice location:
  • Phone: 785-370-3450
  • Fax: 785-670-8472
Mailing address:
  • Phone: 785-370-3450
  • Fax: 785-670-8472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001389A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2056
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: