Individual
DR. ADAM WESLEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1623 NASHVILLE ST, STE 106, RUSSELLVILLE, KY 42276-8889
(270) 726-8090
(270) 726-9008
Mailing address
1623 NASHVILLE ST, STE 106, RUSSELLVILLE, KY 42276-8889
(270) 726-8090
(270) 726-9008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40994
KY
Other
Enumeration date
09/02/2006
Last updated
08/02/2023
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