| Doctor Name: | DR. CHARLES W KEBLUSEK |
| NPI Number: | 1477586766 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.,F.A.C.O.G.,P.C. |
| License Number: | 0101027033 |
| Business Practice Address: | 1409 Huguenot Rd Midlothian, VA - 231132603 |
| Business Phone Number: | 8047065827 |
| Business Fax Number: | 8047065819 |
| Mailing Address: | 12501 Triton Springs Dr, MIDLOTHIAN |
| State: | VA |
| Postal Code: | 231147140 |
| Phone Number: | 8043797579 |
| Fax Number: | 8043799701 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 0101027033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |