Individual
APRIL TAMARA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4009 CADES CV, LEAVENWORTH, KS 66048-8501
(913) 683-8365
Mailing address
4009 CADES CV, LEAVENWORTH, KS 66048-8501
(139) 683-8365
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2005041220
MO
Other
Enumeration date
05/12/2006
Last updated
05/21/2025
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