Keith Lawrence Ellis is a pediatrics nurse practitioner in Bridgeport, CT. Keith Lawrence Ellis NPI is 1144654666. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
46 ALBION ST
BRIDGEPORT, CT
ZIP 06605-602
Phone: (203) 330-6000
Fax: (203) 330-6008
The NPI 1144654666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/12/2022.