Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN J LEWIS, RT
Active Sole ProprietorMR. KEVIN J LEWIS, RT is a Radiologic Technologist healthcare provider located in ELLENWOOD, Georgia. NPI 1104193606 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · ELLENWOOD, GA
Registration Details
- NPI Number
- 1104193606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2011 (14.669094619882 yrs)
- Last Updated
- Nov 28, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
5434 EMILY CIRELLENWOOD, GA, 302944326Browse GA providers · Browse ZIP 30294
- Phone
- 4047848792
- Fax
- 6784223857
- Primary Specialty
-
Radiologic Technologist
247100000X
- Additional Specialty
- Portable X-Ray and/or Other Portable Diagnostic Imaging
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.