Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY ELLIS, D.O.
Active Sole ProprietorDR. KIMBERLY ELLIS, D.O. is a Family Medicine healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1891703476 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1891703476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2006 (19.990228423554 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OS6560 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8423 S US HIGHWAY 1PORT SAINT LUCIE, FL, 349523358Browse FL providers · Browse ZIP 34952
- Phone
- 7722875393
- Fax
- 7728781559
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORT SAINT LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| LINDA FAY DELO | DO PA | 1225033848 |
| DR. DOMINIC J TOTANI | D.O. | 1396734646 |
| DR. DEAN RONALD GALLUPE | D.O. | 1700828431 |
| DR. NESTOR LACAYO | MD | 1508872037 |
| DR. EDWARD K KANKAM | D.O. | 1114085842 |
| DR. BAMBI PETRINIC | M.D. | 1063549434 |
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.