Penska, Keith Henry

Penska, Keith Henry is an individual health care provider with primary practice located at Alexander T. Augusta Military Medical Center 9300 Dewitt Loop, Fort Belvoir VA 22060-5285. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Penska, Keith Henry can be contacted via phone (571) 231-0401.

Contact Information

Primary practice address
Alexander T. Augusta Military Medical Center 9300 Dewitt Loop Fort Belvoir VA 22060-5285
Phone: (571) 231-0401
Fax: (571) 231-6751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101242211 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101242211 Virginia

Profile Details

NPI number 1053513176
LBN Legal business name Penska, Keith Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Aug 14th, 2023 - 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.

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