Kaleb Ellison

NPI #1730626052 in Rainelle, West Virginia

Provider Information

NPI Number: 1730626052
Entity Type: Individual
Name: Kaleb Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 24, 2017
Last Updated: Jan 24, 2017

Practice Location

Address: 227 CHERRY ST
City: Rainelle
State: West Virginia
ZIP Code: 25962-1003
Phone: (304) 880-0049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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