NPI Code Details Logo

NPI 1801525522

NPI 1801525522 : KEITH WINSTON DUNBAR DPT : HOLLY SPRINGS, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801525522
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KEITH WINSTON DUNBAR DPT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/08/2022
-----------------------------------------------------
    Last Update Date     |    06/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    112 GRAND HILL PL 
-----------------------------------------------------
    City                 |    HOLLY SPRINGS
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27540-4416
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-346-5816
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1200 CORPORATE DR STE 400 
-----------------------------------------------------
    City                 |    HOOVER
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35242-5424
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-541-3263
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    P24050
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PT015956
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.