K Ellis PA
K Ellis PA is a Clinic/Center in Albuquerque, New Mexico. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1209 Mountain Road Pl NE # 4953Albuquerque, NM 87110-7845
Phone: (904) 252-3606
Fax: (505) 546-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1124885348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keisha Ellis — Authorized Official/Owner · (904) 252-3606 |
| NPI enumerated | March 4, 2024 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 1209 Mountain Road Pl Ne # 4953, Albuquerque, NM 87110-7845 |
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