NPI 1134516271

Kathleen Ellison, MD

Practitioner Dermatology Physician Fairfax, VA

Practice location

Address: 8316 Arlington Blvd STE 400, Fairfax, VA 22031-5216
Phone: (703) 641-0083
Fax: (703) 641-0085
Mailing address: 5310 Harvest Hill Rd STE 290, Dallas, TX 75230-5826

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101267527 (VA)

Other Dermatology providers in Virginia →

Registry record

NPI: 1134516271
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2015
Record last updated: 9 Oct 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.