Individual
DR. RICHARD BRADBURY ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2411 HOLMES ST, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM M1-210, KANSAS CITY, MO 64108-2792
(816) 235-6626
(816) 235-6629
Mailing address
11304 W 143RD TER, OVERLAND PARK, KS 66221-8034
(913) 402-8798
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2006010377
MO
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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