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Organization
L. KEITH WOODY DMD, INC.
Active
Organization
L. KEITH WOODY DMD, INC.
Active
Other names
Lloyd K. Woody
Organization subpart
No
Provider details
NPI number
Authorized official
L. KEITH WOODY DMD (OWNER)
(606) 789-9092
Entity
Organization
Contact information
Practice address
325 BROADWAY ST, PAINTSVILLE, KY 41240-1348
(606) 789-9092
(606) 789-4428
Mailing address
P.O. BOX 1661, 325 BROADWAY ST, PAINTSVILLE, KY 41240
(606) 789-9092
(606) 789-4428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6240
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381COD3224
—
WV
05
—
60062404
—
KY
Enumeration date
01/14/2015
Last updated
01/14/2015
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