DR. Keith W. Ellis, MD

NPI #1033275896 in Springfield, Missouri

Provider Information

NPI Number: 1033275896
Entity Type: Individual
Name: DR. Keith W. Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Dec 28, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 2115 S FREMONT AVE
Address 2: SUITE 2300
City: Springfield
State: Missouri
ZIP Code: 65804-2239
Phone: (417) 820-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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