Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keenya Ellis

Individual provider Customized Equipment (DME) · NPI 1245824184

Keenya Ellis is a Customized Equipment (DME) in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

9618 Jack Russell Ct
Charlotte, NC 28269-5207
Phone: (347) 224-4746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1245824184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

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