Individual
KENNETH ROSS ELLUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2236 GENERAL BOOTH BLVD STE 110, VIRGINIA BEACH, VA 23456-4092
(757) 918-7761
(757) 689-3597
Mailing address
2236 GENERAL BOOTH BLVD STE 110, VIRGINIA BEACH, VA 23456-4092
(757) 918-7761
(757) 689-3597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557616
VA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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