Ellis, Kimberly

Ellis, Kimberly is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Ellis, Kimberly can be contacted via phone (603) 308-1467.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Phone: (603) 308-1467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A173760 California
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X A173760 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 23152 New Hampshire

Profile Details

NPI number 1386094217
LBN Legal business name Ellis, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Oct 3rd, 2022 - about 2 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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