Organization
DR.CHARLES W. KEBLUSEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE JOHNSON (OFFICE MANAGER)
(804) 379-0094
Entity
Organization
Contact information
Practice address
1409 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2603
(804) 379-0094
(804) 379-9701
Mailing address
1409 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2603
(804) 379-0094
(804) 379-9701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065061
ANTHEM PROVIDER NUMBER
—
Enumeration date
12/03/2007
Last updated
12/27/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us