Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH ROBERT ELLISON, PA
ActiveKENNETH ROBERT ELLISON, PA is a Medical Physician Assistant healthcare provider located in FORT WALTON BEACH, Florida. NPI 1831122803 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1831122803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.062610274486 yrs)
- Last Updated
- Jan 14, 2022
- License
-
9106823 (FL)
Practice Information
- Address
-
1032 MAR WALT DRSUITE 250FORT WALTON BEACH, FL, 325476661Browse FL providers · Browse ZIP 32547
- Phone
- 8508633463
- Fax
- 8503156051
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. MARCOS OTERO | PA-C | 1336138072 |
| MR. STEVE RANDOLPH SWITZER | PA-C | 1003878356 |
| MR. GARY WILLIAM MOUSSEAU | PA-C | 1861593956 |
| MICHELLE JO ADKINS | PA-C | 1265722920 |
| COURTNEY MCGEE | PA | 1740539535 |
| DR. CLAUDIA FERNANDA CAMPUZANO | PHYSICIAN ASSISTANT | 1083955074 |
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.