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Kenneth Ellis, MA
NPI 1700103934 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2243 Eddie Williams Rd
Johnson City, TN 37601 - Phone
- (423) 928-5627
- Fax
- (423) 467-3644
- Organisation at this address
- Frontier Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Specialist
174400000X
- Sex
- Male
- Record last updated
- 2010-04-28
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 Tennessee