Kurt Richard Ellenberger M.D.

NPI 1053376111 - Pediatrics - 208000000X

NPI Details
NPI 1053376111
Gender Male
Enumeration Date 04/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
964 RIBAUT RD
BEAUFORT SC, 29902-5429, US
Phone (843) 524-5437
Fax (843) 524-0425
Business Location
964 RIBAUT RD
BEAUFORT SC, 29902-5429, US
Phone (843) 524-5437
Fax (843) 524-0425
Toxanomy
Taxonomy Code 208000000X
License State South Carolina
License Number 19453
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According to our database, Dr. Kurt Richard Ellenberger M.D. NPI is 1053376111, taxonomy code is 208000000X and license number is 19453, license state is located at South Carolina. Kurt Richard Ellenberger M.D. physically located at 964 Ribaut Rd, Beaufort SC, 29902-5429. NPI Number Kurt Richard Ellenberger M.D. has the Individual type.

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1053376111 NPI number is provided on an as is basis without warranty of any kind. 1053376111 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt Richard Ellenberger M.D. are for informational purposes only.