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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