Individual
KIMBERLY E. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-8000
(860) 972-2975
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-8000
(860) 972-2975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002127
CT
Other
Enumeration date
06/23/2008
Last updated
05/26/2022
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