Individual provider · Type 1 NPI
Kevin J. Lewis, RT
Radiologic Technologist · Ellenwood, GA
NPI number
1104193606
Active
Practice location
5434 Emily Cir
Ellenwood, GA 30294-4326
Fax (678) 422-3857
Mailing address
PO Box 887
Rex, GA 30273-0887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | None listed |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | None listed |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Another provider at this address
Other radiologic technologist providers in Ellenwood
About NPI 1104193606
Kevin J. Lewis, RT's National Provider Identifier is 1104193606, issued on Nov 28, 2011. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Ellenwood, GA. The record was last updated on Nov 28, 2011.