Individual
MS. KRISTIN ELIZABETH ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-9242
(859) 257-1000
Mailing address
900 S LIMESTONE CTW320, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
49447
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
49447
KY
Other
Enumeration date
07/21/2006
Last updated
08/12/2019
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