Ellis, Kathryn

Ellis, Kathryn is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Ellis, Kathryn can be contacted via phone (270) 956-0114.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 956-0114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 42133-20 Wisconsin

Profile Details

NPI number 1790849040
LBN Legal business name Ellis, Kathryn
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Feb 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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