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

Keith Anthony Ellison, RTRCTARRT

Individual provider Computed Tomography Radiologic Technologist · NPI 1427779073

Keith Anthony Ellison, RTRCTARRT is a Computed Tomography Radiologic Technologist in Portsmouth, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

711 Court St
Portsmouth, VA 23704-3625
Phone: (757) 648-9284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Computed Tomography Radiologic Technologist (primary) Taxonomy 2471C3401X · Licence 256008

Record details

NPI number1427779073
Entity typeIndividual (Type 1)
GenderMale
Credentials RTRCTARRT
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 10, 2022
Mailing address711 Court St, Portsmouth, VA 23704-3625

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