Ellis, Kenneth

Ellis, Kenneth is an individual health care provider with primary practice located at 1802 Hwy 82 West , Crossett AR 71635. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Ellis, Kenneth can be contacted via phone (870) 364-7248.

Contact Information

Primary practice address
1802 Hwy 82 West Crossett AR 71635
Fax: (870) 364-2249
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas

Profile Details

NPI number 1992212633
LBN Legal business name Ellis, Kenneth
Credentials CASE MANAGER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2018
Last updated Jan 3rd, 2018 - about 8 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.

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