Munson, Keith D
Munson, Keith D is an sole proprietor health care provider with primary practice located at 4913 Fawn Dell Rd , Roanoke VA 24018-8624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Munson, Keith D can be contacted via phone (540) 314-5568.Contact Information
Primary practice address
4913 Fawn Dell Rd
Roanoke VA 24018-8624
Phone: (540) 314-5568
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2020-03144 | North Carolina |
Other Service Providers / Specialist | 174400000X | 0101223708 | Virginia |
Profile Details
NPI number | 1942292503 |
---|---|
LBN Legal business name | Munson, Keith D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2005 |
Last updated | Sep 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942292503 | NPPES |
Virginia | MEDICAID | 007311206 |
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