KIM MARIE ELLIS

AIKEN, SC
NPI1952762528
Former NameKIM MARIE TRUNKLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  APN 20053 RX)
Enumeration Date2016-03-10
Last Update Date2021-07-06
Business Address
Mrs. KIM MARIE ELLIS NP-C
302 UNIVERSITY PKWY
AIKEN, SC 29801-6302
Phone number: 803-641-5883
Mailing Address
Mrs. KIM MARIE ELLIS NP-C
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-695-6071