Kenneth J Ellis (NPI# 1417973850, PAC ID# 9537184510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1417973850 |
| PAC ID by PECOS | 9537184510 |
| Professional Enrollment ID | I20051008000270 |
| Full Name | Kenneth J Ellis |
| Address |
1106 Columbia Ave Suite 100 Marysville WA 98270-4311 |
| Phone Number | 36065303747005 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1978 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1106 Columbia Ave, Suite 100, Marysville, WA 98270-4311 | 36065303747005 |
| Street Address |
1106 COLUMBIA AVE SUITE 100 |
| City | MARYSVILLE |
| State | WA |
| Zip | 98270-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roxanne Rose Moore | Psychologist, Clinical | 1106 Columbia Ave, Suite 100, Marysville, WA 98270-4311 | |
| Barry A Nyman | Clinical Psychologist | 1106 Columbia Ave, Marysville, WA 98270-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jake D Kent | Optometry | 9516 State Ave, Suite A, Marysville, WA 98270-2277 | |
| Amy R Bush | Physical Therapy | Nspt, Inc. | 9516 State Ave Nw B, Marysville, WA 98270-2277 |
| John M Bielser | Physical Therapy | Nspt, Inc. | 9516 State Ave Nw B, Marysville, WA 98270-2277 |
| Richella Lee Riley | Physical Therapy | Nspt, Inc. | 9516 State Ave Nw B, Marysville, WA 98270-2277 |
| Jennie Collier O Brien | Physical Therapy | Nspt, Inc. | 9516 State Ave Nw B, Marysville, WA 98270-2277 |
| Doron S Kantor | Chiropractic | Symmetria Integrative Medical | 9528 State Ave, Suite B, Marysville, WA 98270-2279 |
| Baljinder S Gill | Chiropractic | Symmetria Integrative Medical | 9528 State Ave, Suite B, Marysville, WA 98270-2279 |
| Susan Elizabeth Stone | Nurse Practitioner | Symmetria Integrative Medical | 9528 State Ave, Suite B, Marysville, WA 98270-2279 |
| Juliana Oliveira | Family Medicine | Sea-mar Community Health Center | 9710 State Ave, Marysville, WA 98270-2280 |
| Sandra Aramburu | Registered Dietitian Or Nutrition Professional | Sea-mar Community Health Center | 9710 State Ave, Marysville, WA 98270-2280 |
| Find all physicians in zip 98270 | |||
| City | MARYSVILLE |
| Zip Code | 98270 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MARYSVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kenneth J Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.