KELLY L ELLIS DO

OSMOND GENERAL HOSPITAL, INC.

Dr KELLY L ELLIS DO is a female medical professional, specializing in Family Medicine. She graduated in 2000.

Contact

OSMOND GENERAL HOSPITAL, INC.

402 N MAPLE ST
OSMOND
NE
687655726

Tel: 4027483393

KELLY L ELLIS DO Information

Npi 1407941057
Pac Id 2769483858
Professional Enrollment Id I20070116000077
Last Name ELLIS
First Name KELLY
Middle Name L
Suffix
Gender F
Credential DO
Medical School Name OTHER
Graduation Year 2000
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OSMOND GENERAL HOSPITAL, INC.
Group Practice Pac Id 4183689227
Number Of Group Practice Members 7
Line 1 Street Address 402 N MAPLE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OSMOND
State NE
Zip Code 687655726
Phone Number 4027483393
Hospital Affiliation Ccn 1 281347
Hospital Affiliation Lbn 1 OSMOND GENERAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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