Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN DUNLEVY ELLIS, PA-C
ActiveKATHLEEN DUNLEVY ELLIS, PA-C is a Surgical Physician Assistant healthcare provider located in MISHAWAKA, Indiana. NPI 1891570545 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MISHAWAKA, IN
Registration Details
- NPI Number
- 1891570545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2023 (2.9648308602994 yrs)
- Last Updated
- Jan 13, 2026
- License
-
10004107A (IN)
Practice Information
- Address
-
611 E DOUGLAS RD STE 207MISHAWAKA, IN, 465451465Browse IN providers · Browse ZIP 46545
- Phone
- 5743356850
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.