NPI 1003918731

Adam Wesley Ellis, MD

Practitioner Surgery Physician Russellville, KY

Practice location

Address: 1623 Nashville St STE 106, Russellville, KY 42276-8889
Phone: (270) 726-8090
Fax: (270) 726-9008

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 40994 (KY)

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Registry record

NPI: 1003918731
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2006
Record last updated: 2 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.