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1114902228
KENNETH K ELLIS
AUSTIN, TX
NPI
1114902228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: TX H9203)
Enumeration Date
2005-12-12
Last Update Date
2008-02-14
Business Address
DR. KENNETH K ELLIS M.D.
11111 RESEARCH BLVD SUITE 390
AUSTIN, TX 78759-5264
Phone number: 512-244-2273
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Mailing Address
DR. KENNETH K ELLIS M.D.
PO BOX 10597
AUSTIN, TX 78766-1597
Phone number: 512-485-5878
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