Kezia Lynnette Ellison, MD

NPI #1407412232 in Hagerstown, Maryland

Provider Information

NPI Number: 1407412232
Entity Type: Individual
Name: Kezia Lynnette Ellison, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 16, 2019
Last Updated: Jul 22, 2022

Practice Location

Address: 11110 MEDICAL CAMPUS RD STE 200
City: Hagerstown
State: Maryland
ZIP Code: 21742-6797
Phone: (301) 790-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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