KENT A ELLIS

PORTLAND, ME
NPI1457481210
Professional NameKENT A ELLIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835X0200X Pharmacist, Oncology
(Licence: ME  PR3788)
Additional Taxonomies1835X0200X Pharmacist, Oncology
(Licence: ME  11900)
1835X0200X Pharmacist, Oncology
(Licence: OR  10751)
Enumeration Date2007-03-07
Last Update Date2012-01-26
Business Address
KENT A ELLIS
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-553-6787
Mailing Address
KENT A ELLIS
96 TENPENNY ST
FREEPORT, ME 04032-6760
Phone number: 720-624-9730