Individual
MR. KEYDER MARTIN WOODCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(304) 747-0639
Mailing address
2711 1ST AVE APT 4, HUNTINGTON, WV 25702-1358
(681) 286-6033
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9211
WV
Other
Enumeration date
06/27/2022
Last updated
01/16/2024
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