KEIDRA ELLIS

LOUISVILLE, KY
NPI1518724236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28221650a)
Enumeration Date2024-02-29
Last Update Date2024-03-01
Business Address
KEIDRA ELLIS Nurse Practitioner
1900 BLUEGRASS AVE
LOUISVILLE, KY 40215-1144
Phone number: 502-599-9397
Mailing Address
KEIDRA ELLIS Nurse Practitioner
920 OAK ST APT 107
EVANSVILLE, IN 47713-1863
Phone number: 812-456-6320
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