Dr. Kenyanita Ellis
D.O. | Pediatrics | Female
Dr. Kenyanita Ellis, D.O. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kenyanita Ellis is
12086 Fort Caroline Rd Ste 401, Jacksonville, Florida - 32225-7640. She can be contacted on phone at
904-456-9240 and fax number 904-456-9231.
Dr. Kenyanita Ellis is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kenyanita Ellis is
1841727716 which was assigned by NPPES on 22 May, 2017 and it was last updated on 01 Mar, 2023.
Dr. Kenyanita Ellis license number is
OS16790 for Pediatrics (208000000X) in Florida.
Dr. Kenyanita Ellis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kenyanita Ellis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Kenyanita Ellis |
|---|
| Credential : | D.O. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Kenyanita Ellis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12086 Fort Caroline Rd Ste 401
Jacksonville, FL, 32225-7640
United States |
|---|
| Phone Number : | 904-456-9240 |
|---|
| Fax Number : | 904-456-9231 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841727716 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 22 May, 2017 |
|---|
| Last Updated On : | 01 Mar, 2023 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenyanita Ellis are as mentioned. Primary taxonomy code for Dr. Kenyanita Ellis, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OS16790 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenyanita Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 106632500 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 12086 Fort Caroline Rd Ste 401
Jacksonville, FL, 32225-7640
United States |
|---|
| Phone Number : | 904-456-9240 |
|---|
| Fax Number : | 904-456-9231 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kenyanita Ellis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.