Kenneth Ray Ellis, MA - Johnson City, TN

Kenneth Ray Ellis, MA

Specialist in Johnson City, Tennessee

NPI 1700103934

Kenneth Ray Ellis is a Specialist based in Gray, TN. Kenneth Ray Ellis practices in Johnson City, TN and has the professional credentials of MA. The NPI Number for Kenneth Ray Ellis is 1700103934 and holds a License No. (Tennessee).

The current practice location address for Kenneth Ray Ellis is 2243 Eddie Williams Rd, Johnson City, TN and can be reached out via phone at 423-928-5627 and via fax at 423-467-3644.

Location: 2243 Eddie Williams Rd, Johnson City, TN, 37615-6205

NPI Number

1700103934

Provider Name

Kenneth Ray Ellis

Credential

Provider Entity Type

Individual

Gender

Male

Address

2243 Eddie Williams Rd, Johnson City, TN, 37615-6205

Phone Number

423-928-5627

Fax Number

423-467-3644

Provider Enumeration Date

04/28/2010

Last Update Date

03/09/2024

Address

2243 Eddie Williams Rd

City

Johnson City

State

Tennessee

Zip

37601-2872

Phone Number

423-928-5627

Fax Number

423-467-3644

Address

2243 Eddie Williams Rd

City

Johnson City

State

Tennessee

Zip

37601-2872

Phone Number

423-928-5627

Fax Number

423-467-3644

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

()

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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