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1740879394
KILLIAN ELLIS
CHARLESTON, WV
NPI
1740879394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
KILLIAN ELLIS PA-C
4500 MACCORKLE AVE SE
CHARLESTON, WV 25304-1806
Phone number: 304-926-1001
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Mailing Address
KILLIAN ELLIS PA-C
16 SUGAR MAPLE LN
ONA, WV 25545-3500
Phone number: 304-360-5498
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