Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH BRADLEY PENNYCOOK, DO
Active Sole ProprietorKEITH BRADLEY PENNYCOOK, DO is a Dermatology healthcare provider located in CUMMING, Georgia. NPI 1821651944 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CUMMING, GA
Registration Details
- NPI Number
- 1821651944
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2019 (7.3420131849053 yrs)
- Last Updated
- Dec 19, 2025
- License
-
86267 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2870 RONALD REAGAN BLVD STE 103CUMMING, GA, 300416092Browse GA providers · Browse ZIP 30041
- Phone
- 2486014900
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| TRISHA N DALEY | MD | 1124014246 |
| DR. ALEXANDER S GROSS | M.D. | 1306826490 |
| DR. NAGA BHAVANI MEDURI | MD | 1346344405 |
| DR. NATHAN JEROME CLEAVER | DO | 1871882225 |
| DR. WESTON THOMAS WAXWEILER | MD | 1386936839 |
| AVALON REGALBUTO | DO | 1124605944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.