Individual
MR. D. KEITH PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 766-8991
Mailing address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 766-8991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 000423
KY
225200000X
Physical Therapy Assistant
Primary
PTA 000672
WV
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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