Healthcare Provider Details

I. General information

NPI: 1245226810
Provider Name (Legal Business Name): KEVIN K MCVEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 10/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13414 E MISSION AVE
SPOKANE VALLEY WA
99216-2759
US

IV. Provider business mailing address

PO BOX 2242
SPOKANE WA
99210-2242
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-2326
  • Fax:
Mailing address:
  • Phone: 509-624-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD00024147
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: