Individual
KAREN A ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W COLORADO AVE, COLORADO SPRINGS, CO 80905-1518
(719) 219-3876
(719) 219-3883
Mailing address
910 W COLORADO AVE, COLORADO SPRINGS, CO 80905-1518
(719) 219-3876
(719) 219-3883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6646
CO
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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