Provider Demographics
NPI:1659809622
Name:ELLINGSON, KARA BRYNN (MD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:BRYNN
Last Name:ELLINGSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:MICHAEL
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1608 S J ST FL 5
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4930
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1608 S J ST FL 5
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4930
Practice Address - Country:US
Practice Address - Phone:253-274-7505
Practice Address - Fax:253-274-7947
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD616304232084N0400X
VA01012668432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology