Individual
MR. TIMOTHY THOMAS KEFAUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 264-4484
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 264-4484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008859
MD
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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