Healthcare Provider Details

I. General information

NPI: 1538023296
Provider Name (Legal Business Name): KEITH DUNN JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD STE 2E
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

1502 W 8TH ST
WILMINGTON DE
19806-4614
US

V. Phone/Fax

Practice location:
  • Phone: 302-444-8155
  • Fax:
Mailing address:
  • Phone: 302-377-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: