Kelley D Ellis in Fort Worth - Medical-surgical
Kelley D Ellis - NPI 1073622858
Kelley D Ellis is a Medical-surgical in Fort Worth, Texas. Kelley D Ellis practices all healthcare services and medical treatments related to Medical-surgical. The NPI Number for Kelley D Ellis is 1073622858. The last update date is 2019-02-04.
Kelley D Ellis's current location address is 1900 Mistletoe Blvd Ste 200, Fort Worth, Texas. You can contact this provider via phone number 8178785333 and fax number 8178785334. The mailing address for Kelley D Ellis is 1900 Mistletoe Blvd Ste 200, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley D Ellis |
|---|---|
| Address | 1900 Mistletoe Blvd Ste 200, Fort Worth, Texas |
| Phone Number | 8178785333 |
| Fax Number | 8178785334 |
| Sole Proprietor | N |
| Credentials | RNFA, CNOR |
NPI Number Detail
| NPI Number | 1073622858 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2019-02-04 |
Provider Mailing Address Detail
| Address | 1900 Mistletoe Blvd Ste 200 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044049 |
| Phone Number | 8178785333 |
| Fax Number | 8178785334 |
Provider's Primary Taxonomy Detail
| Speciality | Medical-surgical |
|---|---|
| Taxonomy | 163Wm0705X |
| Licence No | 551667 |
|
Definition: A registered nurse who cares for adult patients with general medical and surgical needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89N921 | TX | BCBS OF TX | |
| 672032 | TX | CIGNA | |
| 7521427 | TX | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelley D Ellis by the Centers for Medicare & Medicaid Services?
The Kelley D Ellis has been assigned the NPI (National Provider Identifier) 1073622858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kelley D Ellis is physically located?
The Kelley D Ellis is situated at the following address: 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 761044049.
What is the Kelley D Ellis's specialty and taxonomy code?
The Kelley D Ellis's specialty is Medical-surgical, and the corresponding taxonomy code is 163Wm0705X.
On what date did the Kelley D Ellis receive the assignment of its 1073622858 from the Centers for Medicare & Medicaid Services?
The Kelley D Ellis was issued its 1073622858 by the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the information regarding Kelley D Ellis most recently updated?
The details pertaining to the Kelley D Ellis, including its address, specialty, and other relevant information, were last refreshed on 2019-02-04.
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