Search › Utah › 152W00000X
Kevin Ellsworth, O.D
NPI 1669457024 · on the registry since 2005 · sole proprietor
Practice
- Address
- 395 E 1400 N
Suite B
Logan, UT 84341 - Phone
- (435) 752-5585
- Fax
- (435) 787-2871
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah