Individual
ELIZABETH EMILY ELLINWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2107
(816) 932-2843
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2107
(816) 932-2843
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05-45059
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
08/20/2021
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