Karissa Ann Ellis, D.O.

NPI #1134486186 in Fort Wayne, Indiana

Provider Information

NPI Number: 1134486186
Entity Type: Individual
Name: Karissa Ann Ellis, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Apr 16, 2012
Last Updated: Aug 12, 2016

Practice Location

Address: 1717 S CALHOUN ST
City: Fort Wayne
State: Indiana
ZIP Code: 46802-5257
Phone: (260) 458-2641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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