Dr.charles W. Keblusek

NPI #1639351562 in Midlothian, Virginia

Provider Information

NPI Number: 1639351562
Entity Type: Organization
Organization Name: Dr.charles W. Keblusek
Primary Specialty: Specialist
Enumeration Date: Dec 3, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 1409 HUGUENOT RD
Address 2: SUITE 101
City: Midlothian
State: Virginia
ZIP Code: 23113-2603
Phone: (804) 379-0094

Authorized Official

Name: MS. LYNNE JOHNSON
Title: OFFICE MANAGER
Phone: (804) 379-0094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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