Ellen Mckelson

NPI #1881754810 in Modesto, California

Provider Information

NPI Number: 1881754810
Entity Type: Individual
Name: Ellen Mckelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 11, 2006
Last Updated: Feb 1, 2012

Practice Location

Address: 1441 FLORIDA AVE
City: Modesto
State: California
ZIP Code: 95350-4405
Phone: (209) 576-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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