Individual
DR. KEITH EDWARD NEWBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 KINGSLEY LN, STE 305, NORFOLK, VA 23505-4614
(757) 889-5942
(757) 889-5450
Mailing address
110 KINGSLEY LN, STE 305, NORFOLK, VA 23505-4614
(757) 889-5942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101251332
VA
2085R0202X
Diagnostic Radiology Physician
01066433A
IN
2085R0202X
Diagnostic Radiology Physician
11013608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024020
—
IN
01
—
P02045870
RAILROAD MEDICARE
IN
Enumeration date
06/12/2008
Last updated
07/20/2012
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