Ivette E Klumb, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101250058 Issued in VA

Practice address

1201 Broad Rock Blvd
Surgical Service 112, 2a-180
Richmond, VA 23249-0001

Phone

(804) 675-5112

Fax

(804) 675-5390

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1558570523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "SURGICAL SERVICE 112, 2A-180",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5112",
            "fax_number": "804-675-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "SURGICAL SERVICE 112, 2A-180",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5112",
            "fax_number": "804-675-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMB",
        "first_name": "IVETTE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101250058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangita Suresh Kling, MPA, RD
• Nora A Klinker, M.D.
• Monica D Klisz, LPC
• Heather Michelle Kloepping, M.S
• Ursula Klostermyer, DDS PHD
• Daniel Wesley Klyce, PH.D.
• Kmart
• Kmart
• Bridget Kmetz, CRNP-F
• Robert Mark Knape, M.D.

• Plastic Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.