Individual provider · Type 1 NPI

Kiyana Ellison, DO

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1720922016 Active

Practice location

425 Alabama Ave
Fort Worth, TX 76104-1022

Call (817) 820-3400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1720922016

Kiyana Ellison, DO's National Provider Identifier is 1720922016, issued on Apr 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 16, 2026.