Individual
DR. CRAIG ELLSWORTH ELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 COLLEGE BLVD, SUITE 110, OVERLAND PARK, KS 66210-1937
(913) 341-6297
(913) 341-6299
Mailing address
PO BOX 52990, GREENWOOD, SC 29649-0048
(843) 223-3600
(843) 223-6054
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
429909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124780C
—
KS
05
—
202973624
—
MO
Enumeration date
04/07/2006
Last updated
01/24/2011
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