Individual provider · Type 1 NPI
Carolyn Ann Ellsworth, MD
Pediatric Adolescent Medicine Physician · West Plains, MO
NPI number
1679570618
Active
Practice location
312 N Kentucky St
West Plains, MO 65775-2073
Fax (417) 257-1417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 102421 (MO) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
2 other providers at this address
About NPI 1679570618
Carolyn Ann Ellsworth, MD's National Provider Identifier is 1679570618, issued on Jul 6, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in West Plains, MO. The record was last updated on Nov 1, 2011.