Individual
DR. KEITH HENRY PENSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-0401
(571) 231-6751
Mailing address
FORT BELVOIR COMMUNITY HOSPITAL, 9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-0401
(571) 231-6751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101242211
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101242211
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2007
Last updated
08/14/2023
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