Provider Demographics
NPI:1558570523
Name:KLUMB, IVETTE E (MD)
Entity type:Individual
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First Name:IVETTE
Middle Name:E
Last Name:KLUMB
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Gender:
Credentials:MD
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Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:SURGICAL SERVICE 112, 2A-180
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0001
Mailing Address - Country:US
Mailing Address - Phone:804-675-5112
Mailing Address - Fax:804-675-5390
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:SURGICAL SERVICE 112, 2A-180
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5112
Practice Address - Fax:804-675-5390
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-02-25
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Provider Licenses
StateLicense IDTaxonomies
VA0101250058208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery