Provider Demographics
NPI:1770749897
Name:ESPIRITU, KEITH ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:ALEXANDER
Last Name:ESPIRITU
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:213 RIVER WALK PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6893
Mailing Address - Country:US
Mailing Address - Phone:757-983-1777
Mailing Address - Fax:757-507-9043
Practice Address - Street 1:213 RIVER WALK PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-6893
Practice Address - Country:US
Practice Address - Phone:757-983-1777
Practice Address - Fax:757-507-9043
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116019111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine