Dr KENNETH R ELLIS is a male medical professional, specializing in Ophthalmology. He graduated in 1998 from University Of California, Irvine, California College Of Medicine.
ISLAND EYE PHYSICIANS AND SURGEONS
1213 24TH ST
SUITE 300
ANACORTES
WA
982212587
Tel: 3602932020
| Npi | 1215981022 |
| Pac Id | 3375687023 |
| Professional Enrollment Id | I20101012000733 |
| Last Name | ELLIS |
| First Name | KENNETH |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OPHTHALMOLOGY |
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| Organization Legal Name | ISLAND EYE PHYSICIANS AND SURGEONS |
| Group Practice Pac Id | 9537056569 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1213 24TH ST |
| Line 2 Street Address | SUITE 300 |
| Marker Of Address Line 2 Suppression | |
| City | ANACORTES |
| State | WA |
| Zip Code | 982212587 |
| Phone Number | 3602932020 |
| Hospital Affiliation Ccn 1 | 500007 |
| Hospital Affiliation Lbn 1 | ISLAND HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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