NPI 1023531340
Kimberly Y Ellis
Practice location
- Address
- 7365 Granville Dr, Mansfield, TX 76063-4647
- Phone
- (469) 657-9165
- Fax
- (469) 657-9165
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1023531340
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2017
- Record last updated
- 18 Jul 2017
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.