Elledge, Kay E
Elledge, Kay E is an individual health care provider with primary practice located at 3701 Skypark Dr Suite 150, Torrance CA 90505-4753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Elledge, Kay E can be contacted via phone (310) 378-8450.Contact Information
Primary practice address
3701 Skypark Dr Suite 150
Torrance CA 90505-4753
Phone: (310) 378-8450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G86986 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 36123 | Wisconsin |
Profile Details
| NPI number | 1023055928 |
|---|---|
| LBN Legal business name | Elledge, Kay E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Dec 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023055928 | NPPES |
| Wisconsin | MEDICAID | 1023055928 |
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