Kenneth Robert Ellison, PA is a medical physician assistant in Fort Walton Beach, FL with 22 years of experience. Kenneth Robert Ellison, PA NPI is 1831122803. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1032 MAR WALT DR
SUITE 250
FORT WALTON BEACH, FL
ZIP 32547-661
Phone: (850) 863-3463
Fax: (850) 315-6051
The NPI 1831122803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
- Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
The enumeration date for this NPI number is 7/10/2006 and was last updated on 1/14/2022.