Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH RAY ELLIS, MA
Active Sole ProprietorKENNETH RAY ELLIS, MA is a Specialist healthcare provider located in JOHNSON CITY, Tennessee. NPI 1700103934 is currently active in the NPPES registry. Verify at CMS.
Specialist · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1700103934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2010 (16.326539033566 yrs)
- Last Updated
- Apr 28, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
2243 EDDIE WILLIAMS RDJOHNSON CITY, TN, 376012872Browse TN providers · Browse ZIP 37601
- Phone
- 4239285627
- Fax
- 4234673644
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH C. SMITH | M.D. | 1922009521 |
| MISS MARY L MICHAL | M.D. | 1275534810 |
| MRS. SUSAN M HOSSLER | RN, MSN, PNP | 1659369882 |
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.