NPI 1679570618

Carolyn Ann Ellsworth, MD

Practitioner Pediatric Adolescent Medicine Physician West Plains, MO

Practice location

Address: 312 N Kentucky St, West Plains, MO 65775-2073
Phone: (417) 257-7076
Fax: (417) 257-1417

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 102421 (MO)

Other Pediatrics providers in Missouri →

Registry record

NPI: 1679570618
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2005
Record last updated: 1 Nov 2011

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.