Individual
DR. KEITH LOUGH KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
046575
NY
1223P0300X
Periodontics
2901018781
MI
Other
Enumeration date
10/31/2006
Last updated
08/14/2019
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