NPI 1700025244

Shawn Ellis

Practitioner Perfusionist Kettering, OH

Practice location

Address: 3533 Southern Blvd STE 5650, Kettering, OH 45429-1264
Phone: (937) 294-3611
Fax: (937) 294-9010

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 060010 (OH)

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Registry record

NPI: 1700025244
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2009
Record last updated: 6 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.