Provider Demographics
NPI:1386767713
Name:MAY, KEVIN MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:MICHAEL
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 RUSTY RIVET RD
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-9368
Mailing Address - Country:US
Mailing Address - Phone:303-877-9332
Mailing Address - Fax:
Practice Address - Street 1:1630 RUSTY RIVET RD
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-9368
Practice Address - Country:US
Practice Address - Phone:303-877-9332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42105207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0141000OtherWELLCARE
CO800084416999OtherMEDICAL MUTUAL
CO920779020939OtherPACIFICARE
COP3297869OtherOXFORD HEALTH
CO4982860001OtherCIGNA GOVERNEMENT SERVICE
CO58185275Medicaid
COP00075597OtherRR MEDICARE
CO61034215Medicaid
CO7319532OtherAETNA
CO800084416002OtherROCKY MTN HMO
COH12978Medicare UPIN
COP3297869OtherOXFORD HEALTH
CO58185275Medicaid