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Mrs. Kim Marie Ellis, NP-C
Family Nurse Practitioner in Aiken, South Carolina
NPI 1952762528

Kim Marie Ellis is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Kim Marie Ellis practices in Aiken, SC and has the professional credentials of NP-C. The NPI Number for Kim Marie Ellis is 1952762528 and holds a License No. APN 20053 RX (South Carolina).

The current practice location address for Kim Marie Ellis is 302 University Pkwy, Aiken, SC and can be reached out via phone at 803-641-5883.

Location: 302 University Pkwy, Aiken, SC, 30353-0062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952762528
Provider Name
Kim Marie Ellis
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
302 University Pkwy, Aiken, SC, 30353-0062
Phone Number
803-641-5883
Fax Number
Provider Enumeration Date
03/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP3758 05 SC
institution
Provider Business Practice Location Address Details
Address
302 University Pkwy
City
Aiken
State
South Carolina
Zip
29801-6302
Phone Number
803-641-5883
Fax Number
person
Provider Business Mailing Address Details
Address
302 University Pkwy
City
Aiken
State
South Carolina
Zip
29801-6302
Phone Number
803-641-5883
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN 20053 RX (South Carolina)
Definition
Definition to come...
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