NPI 1053513176
Keith Henry Penska, MD
Practice location
- Address
- Alexander T. Augusta Military Medical Center 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285
- Phone
- (571) 231-0401
- Fax
- (571) 231-6751
- Mailing address
- Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285
Registered specialties (3)
Child & Adolescent Psychiatry Physician
Primary
Psychiatry Physician
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1053513176
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jun 2007
- Record last updated
- 14 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.