Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEZIA LYNNETTE ELLISON, MD
Active Sole ProprietorKEZIA LYNNETTE ELLISON, MD is a Family Medicine healthcare provider located in HAGERSTOWN, Maryland. NPI 1407412232 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HAGERSTOWN, MD
Registration Details
- NPI Number
- 1407412232
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2019 (7.2478753563551 yrs)
- Last Updated
- Jul 22, 2022
- License
-
D094743 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11110 MEDICAL CAMPUS RD STE 200HAGERSTOWN, MD, 217426797Browse MD providers · Browse ZIP 21742
- Phone
- 3017909240
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in HAGERSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL C GAUDIOSE | MD | 1578567939 |
| DR. KELLI ALISA STRAUSS | MD | 1033114244 |
| DR. ALLEN WILSON DITTO | MD | 1497750707 |
| DR. STEPHEN ELLIOT METZNER | MD | 1851396089 |
| DR. RALPH LAWRENCE KUGLER | M.D. | 1821093055 |
| DR. WILLIAM EUGENE KUTZERA | MD | 1053316273 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.