Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Marie Fountain

Individual provider Physician Assistant · NPI 1801756739

Ellen Marie Fountain is a Physician Assistant in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026006490 (MO)

Record details

NPI number1801756739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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