| Doctor Name: | KATHRYN B ELLIOTT |
| NPI Number: | 1023109089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | R848503 |
| Business Practice Address: | 551 Azalea Dr Oxford, MS - 386557900 |
| Business Phone Number: | 6622340332 |
| Business Fax Number: | 6622342891 |
| Mailing Address: | 551 Azalea Dr, OXFORD |
| State: | MS |
| Postal Code: | 386557900 |
| Phone Number: | 6622340332 |
| Fax Number: | 6622342891 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | R848503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |