Kevin Ellis, D.O Valid NPI

Individual provider · Family Medicine Physician · El Cajon, CA

NPI

1306861703

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

20A5449 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-13

Last updated

2007-07-08