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NPI Profile for KRISTINA L ELLIS in ANCHORAGE, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1104440585 |
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| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 06/02/2020 | |
| Last updated | 10/11/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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KRISTINA L ELLIS
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KRISTINA L ELLIS, PA-C