MEDICARE: DR. KYRA MCELROY ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist		FL

General Provider Information

NPI Number	:	1649043241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYRA MCELROY ED.D.

Provider Business Mailing Address
First Line	:	2214 132ND PL E
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-6924
Country	:	US
Telephone Number	:	941-224-8397
Fax Number	:

Provider Business Practice Location Address
First Line	:	11031 GATEWOOD DR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-4916
Country	:	US
Telephone Number	:	941-224-8397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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