Keith Anthony Ellison, R.T.(R)(CT)(ARRT)
NPI #1427779073 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1427779073
- Entity Type
- Individual
- Name
- Keith Anthony Ellison, R.T.(R)(CT)(ARRT)
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiologic Technologist - Computed Tomography
- Credential
- R.T.(R)(CT)(ARRT)
- Enumeration Date
- Sep 12, 2022
- Last Updated
- Sep 12, 2022
Practice Location
- Address
- 711 COURT ST
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-3625
- Phone
- (757) 648-9284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Computed Tomography — Computed Tomography |
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