Keith Lawrence Ellis
NPI #1144654666 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1144654666
- Entity Type
- Individual
- Name
- Keith Lawrence Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Sep 3, 2013
- Last Updated
- Sep 12, 2022
Practice Location
- Address
- 46 ALBION ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06605-2602
- Phone
- (203) 330-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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