Individual provider · Type 1 NPI

Kate Ashley Ellis, PA-C

Medical Physician Assistant · Red Bluff, CA

NPI number 1063949550 Active

Practice location

2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356

Fax (530) 527-3720

Mailing address

7325 Huntington Square Ln Apt 71
Citrus Heights, CA 95621-4435

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA54419 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1063949550

Kate Ashley Ellis, PA-C's National Provider Identifier is 1063949550, issued on May 16, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Red Bluff, CA. The record was last updated on May 16, 2017.