Individual
KEVIN SCOTT ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1963 MEMORIAL PKWY SW, SUITE 5, HUNTSVILLE, AL 35801-5036
(256) 265-2464
Mailing address
2827 WILLOWICK TRL SE, HAMPTON COVE, AL 35763-8689
(265) 564-9923
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25009
AL
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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