Kim Ellis
Kim Ellis is a Student in an Organized Health Care Education/Training Program in Oakland, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
629 Oakland AveOakland, CA 94611-4567
Phone: (415) 340-2504
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1780176008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2018 |
| Last updated in NPPES | March 30, 2026 |
| Certification date | March 30, 2026 |
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