Kenneth E Ellingwood, M.D.

NPI #1134111537 in Mobile, Alabama

Provider Information

NPI Number: 1134111537
Entity Type: Individual
Name: Kenneth E Ellingwood, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 22, 2005
Last Updated: Apr 2, 2020

Practice Location

Address: 3719 DAUPHIN ST
Address 2: SUITE 100
City: Mobile
State: Alabama
ZIP Code: 36608-1753
Phone: (251) 414-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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