THOMAS KEVIN ELLIS

SAINT PAUL, MN
NPI1356317580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R0628291)
Enumeration Date2006-02-27
Last Update Date2014-12-31
Business Address
-- THOMAS KEVIN ELLIS CRNA
640 JACKSON ST MAIL STOP 11503P
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
-- THOMAS KEVIN ELLIS CRNA
8100 34TH AVE S 21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-7961