Individual
KEITH M NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
700 WEST PIKE ST, SUITE 200, CLARKSBURG, WV 26301-2629
(304) 624-6821
(304) 624-6840
Mailing address
700 WEST PIKE ST, SUITE 200, CLARKSBURG, WV 26301-2629
(304) 624-6821
(304) 624-6840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
WV00232
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099501000
—
WV
01
—
1386634
UMWA
WV
01
—
480006787
RAILROAD MEDICARE
WV
Enumeration date
10/04/2005
Last updated
03/27/2014
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