Individual
DR. KATHRYN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0114
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0114
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
42133-20
WI
Other
Enumeration date
12/21/2006
Last updated
02/12/2019
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