Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ANTHONY ELLISON, R.T.(R)(CT)(ARRT)
Active Sole ProprietorKEITH ANTHONY ELLISON, R.T.(R)(CT)(ARRT) is a 2471C3401X healthcare provider located in PORTSMOUTH, Virginia. NPI 1427779073 is currently active in the NPPES registry. Verify at CMS.
2471C3401X · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1427779073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2022 (3.9516609862147 yrs)
- Last Updated
- Sep 12, 2022
- License
-
256008
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 COURT STPORTSMOUTH, VA, 237043625Browse VA providers · Browse ZIP 23704
- Phone
- 7576489284
- Primary Specialty
-
2471C3401X
2471C3401X
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.