Individual
MR. L. KEITH WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
325 BROADWAY ST, PAINTSVILLE, KY 41240-1348
(606) 789-9092
(606) 789-4428
Mailing address
325 BROADWAY ST, PAINTSVILLE, KY 41240-1348
(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
01
—
381COD3224
MEDICAID
WV
05
—
60062403
—
KY
Enumeration date
11/17/2006
Last updated
02/23/2026
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