NPI 1396853974

Mark Matthew McKell, OD

Practitioner Optometrist Nampa, ID

Practice location

Address: 2100 Caldwell Blvd, Nampa, ID 83651-1510
Phone: (208) 466-6895

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100119 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 6271198-9934 (UT)

Registry record

NPI: 1396853974
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.