Kevin Elliott, LDO VCM

NPI 1356071070 · on the registry since 2022

Practice

Address: 175 Highway 274
Lake Wylie, SC 29710
Phone: (803) 619-7025
Fax: (803) 831-5049
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Optician
156FX1800X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina