Ellison, Kimberlee Janette Despain

Ellison, Kimberlee Janette Despain is an sole proprietor health care provider with primary practice located at 2302 N 15Th Ave , Phoenix AZ 85007-1201. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Ellison, Kimberlee Janette Despain can be contacted via phone (623) 242-6908.

Contact Information

Primary practice address
2302 N 15Th Ave Phoenix AZ 85007-1201
Phone: (623) 242-6908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60439302 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT60439302 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X LPT-30638 Arizona

Profile Details

NPI number 1326441940
LBN Legal business name Ellison, Kimberlee Janette Despain
Credentials PT, DPT, C/NDT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2014
Last updated Apr 29th, 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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