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

Killian Ellis, PA-C

Individual provider Physician Assistant · NPI 1740879394

Killian Ellis, PA-C is a Physician Assistant in Charleston, West Virginia. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4500 Maccorkle Ave SE
Charleston, WV 25304-1806
Phone: (304) 926-1001
Show map & directions

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

Additional practice locations (1)

  • 111 Morning Star Ln, Beckley, WV 25801-7118 — (304) 252-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740879394
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 15, 2021

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