Individual
DR. KEITH NEWBY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 W 21ST ST FL 2, NORFOLK, VA 23517-1516
(757) 624-1785
(757) 624-1759
Mailing address
PO BOX 639971, CINCINNATI, OH 45263-9971
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101051954
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
0101051954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005825229
—
VA
01
—
VAA103567
INDIVIDUAL PTAN
—
Enumeration date
07/10/2006
Last updated
04/22/2025
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