Kimberly Ellis, MD
Surgery in Manchester, New Hampshire
1386094217- Practice location
- 100 Hitchcock Way, Manchester, NH 03104-4125
- Phone
- 603-308-1467
- Fax
- —
- Last updated
- October 3, 2022
Kimberly Ellis is a Surgery based in Manchester, NH. Kimberly Ellis practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Kimberly Ellis is 1386094217 and holds a License No. A173760 (CA). The current practice location address for Kimberly Ellis is 100 Hitchcock Way, Manchester, NH 03104-4125 and can be reached out via phone at 603-308-1467.
Provider Profile Details
- NPI Number
- 1386094217
- Provider Name
- Kimberly Ellis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Hitchcock Way, Manchester, NH 03104-4125
- Phone Number
- 603-308-1467
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2016
- Last Update Date
- October 3, 2022
- Certification Date
- September 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - City
- Manchester
- State
- New Hampshire
- Zip
- 03104-4125
- Phone Number
- 603-308-1467
Provider Business Mailing Address Details
- Address
- Po Box 810
Hanover, NH 03755-0810 - City
- Hanover
- State
- NH
- Zip
- 03755-0810
- Phone Number
- 603-308-1467
License Information
- License Number (1)
- A173760
- License State (1)
- CA
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- A173760
- License State (2)
- CA
- Taxonomy (2)
- Surgery, Surgical Oncology · 2086X0206X
- License Number (3)
- 23152
- License State (3)
- NH
- Taxonomy (3)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kimberly Ellis, MD?
The NPI number of Kimberly Ellis, MD is 1386094217. It was assigned on June 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Kimberly Ellis, MD?
Kimberly Ellis, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in CA under license number A173760.
Where does Kimberly Ellis, MD practice?
The practice location is 100 Hitchcock Way, Manchester, NH 03104-4125. The office can be reached at 603-308-1467 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386094217 directly on the NPPES registry website.