Elleson, Kelly M
Elleson, Kelly M is an individual health care provider with primary practice located at 8931 Colonial Center Dr Ste 301 , Fort Myers FL 33905-7809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Elleson, Kelly M can be contacted via phone (239) 539-8815.Contact Information
Primary practice address
8931 Colonial Center Dr Ste 301
Fort Myers FL 33905-7809
Phone: (239) 539-8815
Fax: (239) 277-0729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME146912 | Florida |
Profile Details
| NPI number | 1487048930 |
|---|---|
| LBN Legal business name | Elleson, Kelly M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2015 |
| Last updated | Aug 25th, 2026 - about 2 months 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 | 1487048930 | NPPES |
| Florida | MEDICAID | 108042400 |
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