Provider Demographics
NPI:1770070336
Name:FOX, KEVIN ELARY (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ELARY
Last Name:FOX
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 95590
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-0590
Mailing Address - Country:US
Mailing Address - Phone:801-784-0954
Mailing Address - Fax:801-352-7976
Practice Address - Street 1:9400 UNIVERSITY PKWY STE 101B
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5485
Practice Address - Country:US
Practice Address - Phone:850-208-6150
Practice Address - Fax:850-916-8700
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2025-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A20596207X00000X
FLOS17258207X00000X
FLUO5943207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery