Keith Lawrence Ellis is a Bridgeport, Connecticut based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Keith Lawrence Ellis is 5501 for Pediatrics in Connecticut. His current practice location is 46 Albion St, Bridgeport. Patients can reach him at 203-330-6000 or can fax him at 203-330-6008 with specialization in Pediatrics and his NPI number (Unique professional ID assigned by NPPES) is 1144654666. Keith Lawrence Ellis specializes in caring for newborns, infants, toddlers, adolescents and young adults. He perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Keith Lawrence Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144654666
NPI Enumeration Date:
03 Sep, 2013
NPI Last Update On:
12 Sep, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith Lawrence Ellis are as mentioned below.
License Number
Specialization
State
Status
5501
Pediatrics
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Keith Lawrence Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004236136
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Keith Lawrence Ellis 46 Albion St, Bridgeport, Connecticut
Zip:
06605-2602
Phone Number:
203-330-6000
Fax Number:
203-330-6008
Patients can reach Keith Lawrence Ellis at 46 Albion St, Bridgeport, Connecticut or can call to book an appointment on 203-330-6000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.