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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942292503 NPPES
Virginia MEDICAID 007311206

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