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

Keith Lawrence Ellis

Individual provider Pediatric Nurse Practitioner · NPI 1144654666

Keith Lawrence Ellis is a Pediatric Nurse Practitioner in Bridgeport, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2013

Practice location Address checks out

46 Albion St
Bridgeport, CT 06605-2602
Phone: (203) 330-6000
Fax: (203) 330-6008
Show map & directions

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

Additional practice locations (1)

  • 282 Washington St, Hartford, CT 06106-3322 — (860) 837-7250

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5501 (CT)

Record details

NPI number1144654666
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address46 Albion St, Bridgeport, CT 06605-2602

Other providers in Bridgeport