Organization
SCOTT KEFFER INC
Active
Parent organization
SCOTT KEFFER INC
Other names
Mountain Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT KEFFER INC
Authorized official
SCOTT KEFFER DO (PRESIDENT)
(304) 228-6809
Entity
Organization
Contact information
Practice address
123 JAMES RIVER & KANAWHA TURNPIKE EAST, ANSTED, WV 25812-1401
(855) 250-3054
(304) 658-4690
Mailing address
PO BOX A, 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
—
3810018985
—
WV
Enumeration date
02/22/2007
Last updated
10/26/2012
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