Individual provider · Type 1 NPI

Kristina Louise Ellis, PA-C

Surgical Physician Assistant · Anchorage, AK

NPI number 1104440585 Active

Practice location

4100 Lake Otis Pkwy Ste 320
Anchorage, AK 99508-5231

Call (907) 563-4810 Map

Fax (907) 563-4811

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X204589 (AK)

Surgical Physician Assistant: Definition to come...

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About NPI 1104440585

Kristina Louise Ellis, PA-C's National Provider Identifier is 1104440585, issued on Jun 2, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Anchorage, AK. The record was last updated on Oct 11, 2023.