person
Dr. John C Ellis, MD
Specialist in Lees Summit, Missouri
NPI 1477527877

John C Ellis is a Specialist based in Lees Summit, MO. John C Ellis practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for John C Ellis is 1477527877 and holds a License No. R8E78 (Missouri).

The current practice location address for John C Ellis is 4880 Ne Goodview Circle, Lees Summit, MO and can be reached out via phone at 816-478-4200 and via fax at 816-478-0507.

Location: 4880 Ne Goodview Circle, Lees Summit, MO, 64064-2368
person
Provider Profile Details
NPI Number
1477527877
Provider Name
John C Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4880 Ne Goodview Circle, Lees Summit, MO, 64064-2368
Phone Number
816-478-4200
Fax Number
816-478-0507
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4001449 01 MO AETNA
11540041 01 MO BCBS OF KC
1008021 01 MO UHC
9852 01 MO BNDD
204510882 01 MO CHAMPUS
institution
Provider Business Practice Location Address Details
Address
4880 Ne Goodview Circle
City
State
Zip
64064
Phone Number
816-478-4200
Fax Number
816-478-0507
person
Provider Business Mailing Address Details
Address
4880 Ne Goodview Circle
City
State
Zip
64064
Phone Number
816-478-4200
Fax Number
816-478-0507
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
R8E78 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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