Individual
KAY F. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2001005629
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335816708
—
MO
Enumeration date
01/25/2006
Last updated
11/17/2009
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