Individual
DR. KENNETH K ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11111 RESEARCH BLVD, SUITE 390, AUSTIN, TX 78759-5264
(512) 244-2273
(512) 671-7883
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 485-5878
(512) 420-0397
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H9203
TX
Other
Enumeration date
12/12/2005
Last updated
02/14/2008
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