Katie Jo Ellis, PA

NPI #1629017850 in Lima, Ohio

Provider Information

NPI Number: 1629017850
Entity Type: Individual
Name: Katie Jo Ellis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 5, 2006
Last Updated: Jan 25, 2022

Practice Location

Address: 730 W MARKET ST
City: Lima
State: Ohio
ZIP Code: 45801-4602
Phone: (419) 227-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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