Individual
DR. KYLE ELLINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2231
(505) 272-8098
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
94-10662
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/08/2021
Last updated
04/06/2026
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