Individual
JACK ELLZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-6000
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KS
Other
Enumeration date
07/20/2026
Last updated
07/22/2026
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