Individual provider · Type 1 NPI

Richard Bradbury Ellington, DO

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1619904844 Active

Practice location

2411 Holmes St, Umkc School Of Medicine Residency Program M1-210
Kansas City, MO 64108-2792

Call (816) 235-6626 Map

Fax (816) 235-6629

Mailing address

11304 W 143rd Ter
Overland Park, KS 66221-8034

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2006010377 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619904844

Richard Bradbury Ellington, DO's National Provider Identifier is 1619904844, issued on Jun 26, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.