Keith Andrew Derco, M.D.

Pediatrics Physician · Glen Allen, VA

Individual Active NPI

NPI number 1255424206

Practice location

11551 Nuckols Rd
Suite F
Glen Allen, VA 23059-5565
Phone
(804) 364-4400
Fax
(804) 364-0120

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NPI record

NPI
1255424206
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
May 22, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 0101052086 VA

About Dr. Derco

Keith Andrew Derco, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565. The NPI number 1255424206 was assigned on October 2, 2006 and the record was last updated on May 22, 2008.

Dr. Derco lists a license in the registry: #0101052086 (VA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Andrew Derco, M.D.?

The NPI number is 1255424206.

What is the phone number of Dr. Derco?

The phone number listed for the practice location is (804) 364-4400.

Where is Dr. Derco located?

11551 Nuckols Rd, Suite F, Glen Allen, VA 23059-5565.

What is the taxonomy code for Dr. Derco?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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