Ellsworth, Kevin Ryan

Ellsworth, Kevin Ryan is an individual health care provider with primary practice located at 3420 S Mercy Rd Ste 205 , Gilbert AZ 85297-0423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ellsworth, Kevin Ryan can be contacted via phone (602) 933-6345.

Contact Information

Primary practice address
3420 S Mercy Rd Ste 205 Gilbert AZ 85297-0423
Phone: (602) 933-6345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 56178 Arizona

Profile Details

NPI number 1255607263
LBN Legal business name Ellsworth, Kevin Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2012
Last updated Dec 9th, 2020 - about 5 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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