Organization
ELLIS MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS A ELLIS (PRESIDENT)
(913) 814-7308
Entity
Organization
Contact information
Practice address
7222 W NORTHWIND ST, WICHITA, KS 67205-2596
(913) 814-7308
Mailing address
7222 W NORTHWIND ST, WICHITA, KS 67205-2596
(913) 814-7308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KS
Other
Enumeration date
01/21/2008
Last updated
12/22/2008
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