person
Keith Anthony Ellison, RT(R)(CT)(ARRT)
Computed Tomography Radiologic Technologist in Portsmouth, Virginia
NPI 1427779073

Keith Anthony Ellison is a Computed Tomography Radiologic Technologist based in Portsmouth, VA and is specialized in Computed Tomography. Keith Anthony Ellison practices in Portsmouth, VA and has the professional credentials of RT(R)(CT)(ARRT). The NPI Number for Keith Anthony Ellison is 1427779073 and holds a License No. 256008 (Virginia).

The current practice location address for Keith Anthony Ellison is 711 Court St, Portsmouth, VA and can be reached out via phone at 757-648-9284.

Location: 711 Court St, Portsmouth, VA, 23704-3625
person
Provider Profile Details
NPI Number
1427779073
Provider Name
Keith Anthony Ellison
Credential
RT(R)(CT)(ARRT)
Provider Entity Type
Individual
Gender
Male
Address
711 Court St, Portsmouth, VA, 23704-3625
Phone Number
757-648-9284
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
711 Court St
City
State
Zip
23704-3625
Phone Number
757-648-9284
Fax Number
person
Provider Business Mailing Address Details
Address
711 Court St
City
State
Zip
23704-3625
Phone Number
757-648-9284
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Computed Tomography
Taxonomy
License No.
256008 ()
Definition
Definition to come...
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