Kent Ellsworth PA-C

NPI 1730313172 - Physician Assistant - 363A00000X

NPI Details
NPI 1730313172
Gender Male
Enumeration Date 05/13/2009
Last Updated 05/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
APO AE
VILSECK BAVAR, 09112, DE
Phone 011499662834720
Fax
Business Location
APO AE
VILSECK BA, 09112, DE
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Kent Ellsworth PA-C NPI is 1730313172, taxonomy code is 363A00000X Kent Ellsworth PA-C physically located at Apo Ae, Vilseck BAVAR, 09112. NPI Number Kent Ellsworth PA-C has the Individual type.

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1730313172 NPI number is provided on an as is basis without warranty of any kind. 1730313172 is maintained by the National Plan & Provider Enumeration System. The contents of Kent Ellsworth PA-C are for informational purposes only.