JUSTIN KYLE ELLIS

SEATTLE, WA
NPI1326570953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WA  MD61624247)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  83594)
Enumeration Date2017-04-02
Last Update Date2025-09-26
Business Address
JUSTIN KYLE ELLIS MD, PhD
925 SENECA ST
SEATTLE, WA 98101-2742
Phone number: 206-341-0468
Mailing Address
JUSTIN KYLE ELLIS MD, PhD
PO BOX 741515
LOS ANGELES, CA 90074-1515
Phone number: 206-341-0468