KENNETH ELLIS, MA
Specialist
Active
Individual
NPI: 1700103934
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | - |
Frequently Asked Questions
NPI 1700103934 is the National Provider Identifier for KENNETH ELLIS, MA, a Specialist provider located in Johnson City, TN. This NPI was enumerated on April 28, 2010.
KENNETH ELLIS, MA practices at 2243 EDDIE WILLIAMS RD, Johnson City, TN 37601.
Quick Facts
- NPI
- 1700103934
- Type
- Individual
- Enumerated
- Apr 28, 2010
- Last Updated
- Apr 28, 2010
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