DR. Keith E Proctor, D.O. is a student in an organized health care education training program in Ronceverte, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Keith E Proctor, D.O. NPI is 1407021694. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
202 MAPLEWOOD AVE
RONCEVERTE, WV
ZIP 24970-334
Phone: (304) 647-6529
Fax: (304) 793-2279
The enumeration date for this NPI number is 4/28/2008 and was last updated on 4/28/2008.