Ellis Medical Clinic LLC

NPI #1871064568 in Ellis, Kansas

Provider Information

NPI Number: 1871064568
Entity Type: Organization
Organization Name: Ellis Medical Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 6, 2018
Last Updated: Feb 16, 2019

Practice Location

Address: 814 JEFFERSON ST
City: Ellis
State: Kansas
ZIP Code: 67637-2215
Phone: (785) 520-5020

Authorized Official

Name: CHRISTY DAWN CUNNINGHAM
Title: BUSINESS MANAGER
Phone: (785) 520-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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