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

Kelvin Ellis Jr., DO

Individual provider Emergency Medicine Physician · NPI 1407340441

Kelvin Ellis Jr., DO is an Emergency Medicine in Zachary, Louisiana. Qualified in 2018, 8 years ago. Practices with Vincent Emergency Group, LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and New York.

Years since qualifying
8
Licensed in
LA, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

6300 Main St
Zachary, LA 70791-4037
Phone: (225) 658-4316
Show map & directions

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

Additional practice locations (1)

  • 501 Howard Avenue, Altoona, PA 16601 — (814) 889-2020

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 346884 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 315779 (NY)

Record details

NPI number1407340441
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Vincent Emergency Group, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Zachary