NPI 1013565399
Kimberly Jean Ellis-Koceja
Practice location
- Address
- 4952 Grassy Pond Rd, Chipley, FL 32428-5547
- Phone
- (850) 596-4137
- Mailing address
- 4523 Northshore Rd, Lynn Haven, FL 32444-3478
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1013565399
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Aug 2019
- Record last updated
- 29 Aug 2019
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.