Individual
DAVID K ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4864
Mailing address
5000 S 13TH STREET, LEAVENWORTH, KS 66048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09184
KS
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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