MR. KEVIN J LEWIS RT
NPI 1104193606
Radiologic Technologist in Ellenwood, GA

Active since November 28, 2011
5434 EMILY CIR, ELLENWOOD, GA 30294(404) 784-8792(678) 422-3857 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin J Lewis Rt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN J LEWIS RT (NPI 1104193606) is an individual radiologic technologist in Ellenwood, Georgia and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1104193606
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameMR. KEVIN J LEWISCredential: RT
Location Address5434 EMILY CIREllenwood, GA 30294-4326
Mailing AddressPo Box 887Rex, GA 30273-0887
Fax(678) 422-3857
Sole ProprietorYes
Enumeration DateNovember 28, 2011
NPI 1104193606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
5434 EMILY CIR, Ellenwood, GA 30294

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
5434 EMILY CIR
ELLENWOOD, GA 30294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Lewis's NPI number?

The NPI number for Kevin Lewis is 1104193606. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Kevin Lewis located?

Kevin Lewis practices at 5434 Emily Cir, Ellenwood, GA 30294. The listed phone number is (404) 784-8792.

What is Kevin Lewis's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Kevin Lewis was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.