Keith Vennum is a Addiction Psychiatry in Orlando, Florida. Keith Vennum practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Keith Vennum is 1952415119. The last update date is 2021-03-29.
Keith Vennum's current location address is 150 E Robinson St, Orlando, Florida. You can contact this provider via phone number 8635298491 and fax number 3212476983. The mailing address for Keith Vennum is 150 E Robinson St, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Vennum |
|---|---|
| Address | 150 E Robinson St, Orlando, Florida |
| Phone Number | 8635298491 |
| Fax Number | 3212476983 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1952415119 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 150 E Robinson St |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328011695 |
| Phone Number | 8635298491 |
| Fax Number | 3212476983 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | ME24611 |
|
Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68002A | FL | MEDICARE | |
| 3353900 | FL | -- |
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What is the Keith Vennum's unique identification number?
The Keith Vennum has been assigned the NPI (National Provider Identifier) Number 1952415119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Keith Vennum located?
The Keith Vennum is located at 150 E Robinson St, Orlando, FL 328011695.
What is Keith Vennum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith Vennum is Addiction Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0802X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952415119 to Keith Vennum?
The Centers for Medicare & Medicaid Services originally issued the 1952415119 to Keith Vennum on 2006-08-17.
As of what date was the information regarding Keith Vennum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Vennum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-29.
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