Individual
KAYCIE DOUSHARM ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 S 6TH ST STE 9, MINNEAPOLIS, MN 55402-4643
(888) 227-3552
Mailing address
5679 CLYATTVILLE LAKE PARK RD, VALDOSTA, GA 31601-0867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN277661
GA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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