KEVIN ELLIS D.O - NPI 1306861703 - Family Medicine in El Cajon, CA

Q: What is Kevin Ellis's NPI number?

The NPI number for Kevin Ellis is 1306861703. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Kevin Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Ellis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kevin Ellis D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN ELLIS D.O (NPI 1306861703) is an individual family medicine provider in El Cajon, California, licensed in California (20A5449) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306861703

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN ELLISCredential: D.O

Location Address855 E MADISON AVEEl Cajon, CA 92020-3819

Mailing Address425 N Date StEscondido, CA 92025-3413 · (760) 737-2035 · Fax (760) 741-2782

Phone(619) 440-2751

Fax(619) 440-2945

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306861703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A5449

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

855 E MADISON AVE, El Cajon, CA 92020

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