Provider Demographics
NPI:1750506481
Name:HUNSAKER, KEITH W (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:W
Last Name:HUNSAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2591 MIAMISBURG CENTERVILLE ROAD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3706
Mailing Address - Country:US
Mailing Address - Phone:937-433-7622
Mailing Address - Fax:937-433-7656
Practice Address - Street 1:ONE MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1066
Practice Address - Country:US
Practice Address - Phone:513-420-5755
Practice Address - Fax:513-705-4759
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2016-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE204392085R0202X
OH351229592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology