Individual
DR. KEITH HUMMEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
3000 RIDGE RD, TIMBERVILLE, VA 22853-2819
(804) 456-6077
(540) 839-7172
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101059259
VA
208D00000X
General Practice Physician
0101059259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010230641
—
VA
Enumeration date
04/26/2006
Last updated
03/27/2020
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