Search › Missouri › Pediatric Adolescent Medicine Physician
Carolyn Ellsworth, M.D
NPI 1679570618 · on the registry since 2005
Practice
- Address
- 312 N Kentucky St
West Plains, MO 65775 - Phone
- (417) 257-7076
- Fax
- (417) 257-1417
- Organisation at this address
- Bill Stafford, M.D.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pediatric Adolescent Medicine Physician
2080A0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-01
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 Missouri