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

Mr. Kevin J Lewis, RT

Individual provider Radiologic Technologist · NPI 1104193606

Mr. Kevin J Lewis, RT is a Radiologic Technologist in Ellenwood, Georgia. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

5434 Emily Cir
Ellenwood, GA 30294-4326
Phone: (404) 784-8792
Fax: (678) 422-3857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Taxonomy 335V00000X

Record details

NPI number1104193606
Entity typeIndividual (Type 1)
GenderMale
Credentials RT
Sole proprietorYes
NPI enumeratedNovember 28, 2011
Last updated in NPPESNovember 28, 2011

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