Individual provider · Type 1 NPI

Kelvin Ellis Sr.

Driver · Atlanta, GA

NPI number 1619748258 Active

Practice location

285 W Wieuca Rd NE
Atlanta, GA 30342-3321

Call (470) 705-1500 Map

Mailing address

1030 Declaration Ct
Mcdonough, GA 30253-7905

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1619748258

Kelvin Ellis Sr.'s National Provider Identifier is 1619748258, issued on Jan 11, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 11, 2024.