Dr. Richard Kipp Ellsworth
Neuromusculoskeletal Medicine (NMM)
460 Greenfield Ave Suite 1
Hanford
, California 93230-3500
Dr. Richard Kipp Ellsworth
Neuromusculoskeletal Medicine (NMM)
460 Greenfield Ave Suite 1
Hanford
, California 93230-3500
(559) 584-5711
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Richard Kipp Ellsworth
- 460 Greenfield Ave Suite 1
- Hanford, CA
- Zip : 93230-3500
- Fax : (559) 584-5711
- Phone : (559) 584-0141
Second Address
- Dr. Richard Kipp Ellsworth
- 460 Greenfield Ave Suite 1
- Hanford, CA
- Zip : 93230-3500
- Fax : (559) 584-5711
- Phone : (559) 584-0141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A46140 | CA |
National Provider Identifier
| NPI | 1093730277 |
|---|---|
| Provider Name | Dr. Richard Kipp Ellsworth |
| First Address | Hanford, CA 93230-3500 |
| Second Address | Hanford, CA 93230-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 15/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020A46140 | (05) | CA |
| A46140 | STATE LICENSE (01) | CA |
| E50224 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.