Individual
KEITH R DRURY
Active
Individual
KEITH R DRURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112038
WALI
ID
01
—
1000927
CHAMPUS/BLUECROSS
ID
01
—
390090
REGENCE GRP
ID
01
—
7023864
WAPA
ID
Enumeration date
10/19/2006
Last updated
07/08/2007
Update your record
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