Ellis, Kenneth Ray
Ellis, Kenneth Ray is an sole proprietor health care provider with primary practice located at 2243 Eddie Williams Rd , Johnson City TN 37601-2872. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellis, Kenneth Ray can be contacted via phone (423) 928-5627.Contact Information
Primary practice address
2243 Eddie Williams Rd
Johnson City TN 37601-2872
Phone: (423) 928-5627
Fax: (423) 467-3644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1700103934 |
|---|---|
| LBN Legal business name | Ellis, Kenneth Ray |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2010 |
| Last updated | Apr 28th, 2010 - about 16 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.
Popular Providers
-
Armstrong, Mark
1722 E Reelfoot Ave Suite 1, Union City TN 38261-6050 -
Katz, Peter Lee
1109 E Reelfoot Ave Suite A, Union City TN 38261-5856 -
Pennington, Connie Jo
2306 Knob Creek Rd Suite 100, Johnson City TN 37604-2366 -
Many, Angela S
120 Hospital Dr Suite 250, Jefferson City TN 37760-5279 -
Hall, James C
1304 Medical Park Cir , Union City TN 38261-5876 -
Smith, Elizabeth C.
302 Wesley St Suite 10, Johnson City TN 37601-1740 -
Alison, Harold Wayne
2428 Knob Creek Road , Johnson City TN 37604 -
Lord, Kent J
2410 Susannah St , Johnson City TN 37601-1748