Katherine Ellis
NPI #1043706393 in Summerville, South Carolina
Provider Information
- NPI Number
- 1043706393
- Entity Type
- Individual
- Name
- Katherine Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Jul 10, 2018
- Last Updated
- Jul 10, 2018
Practice Location
- Address
- 2016 1ST AVE
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29486-0408
- Phone
- (843) 432-3109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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