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KENNETH ELLISON, PA

PA

Medical Physician Assistant

NPI: 1831122803IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

9106823(FL)

CMS Specialties

Education

OTHER

Class of 2002

Contact & Hours

Address
1032 MAR WALT DR, SUITE 250
FORT WALTON BEACH, FL 32547

Quick Facts

NPI
1831122803
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
24

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