Ellis, Kimberly
Ellis, Kimberly is an sole proprietor health care provider with primary practice located at 8423 S Us Highway 1 , Port Saint Lucie FL 34952-3358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellis, Kimberly can be contacted via phone (772) 287-5393.Contact Information
Primary practice address
8423 S Us Highway 1
Port Saint Lucie FL 34952-3358
Phone: (772) 287-5393
Fax: (772) 878-1559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS6560 | Florida |
Profile Details
| NPI number | 1891703476 |
|---|---|
| LBN Legal business name | Ellis, Kimberly |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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