Individual
WILLIAM KEITH BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
945 W RUSSELL ST, ELKHORN CITY, KY 41522-9032
(606) 754-4134
Mailing address
945 W RUSSELL ST, ELKHORN CITY, KY 41522-9032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03915
KY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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