Individual
KEITH A POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55741 NATIONAL ROAD, BRIDGEPORT, OH 43912
(740) 635-4572
(740) 635-4575
Mailing address
51339 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-9119
(740) 635-4572
(740) 635-4575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1840
WV
207Q00000X
Family Medicine Physician
Primary
34.007929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841034000
—
WV
05
—
2345144
—
OH
Enumeration date
05/24/2006
Last updated
07/15/2022
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