Individual
MISS KARYN DIAN ELLENBERGER
Active
Individual
MISS KARYN DIAN ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC005701
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005701
PA
Other
Enumeration date
06/27/2006
Last updated
11/10/2010
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