IndividualActive
Shawn Ellis
NPI 1700025244 · Perfusionist · Kettering, OH
Provider details
- NPI number
- 1700025244
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 060010 (OH)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3533 Southern Blvd
Ste 5650
Kettering, OH 45429-1264
Phone: (937) 294-3611
Fax: (937) 294-9010
Approximate (ZIP-level) locationGet directions
Mailing address
3533 Southern Blvd
Kettering, OH 45429-1264
Registry dates
- Enumerated
- 2009-02-06
- Last updated
- 2009-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.