IndividualActive
Kevin Lewis, RT
NPI 1104193606 · Radiologic Technologist · Ellenwood, GA
Provider details
- NPI number
- 1104193606
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT
- Sex
- Male
- Sole proprietor
- Yes
Practice location
5434 Emily Cir
Ellenwood, GA 30294-4326
Phone: (404) 784-8792
Fax: (678) 422-3857
Mailing address
Po Box 887
Rex, GA 30273-0887
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2011-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.