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Individual

SCOTT A KEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
123 JAMES RIVER AND KANAWHA TURNPIKE, ANSTED, WV 25812-1401
(855) 250-3054
(304) 658-4690
Mailing address
PO BOX A, 123 JAMES RIVER & KANAWHA TURNPIKE, ANSTED, WV 25812-1401
(855) 250-3054
(304) 658-4690

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1615
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047889000
WV
Enumeration date
08/16/2005
Last updated
03/11/2013
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