Individual
KATHLEEN R WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
893 E SUPERIOR ST, WAYLAND, MI 49348-9178
(616) 252-3400
Mailing address
2122 HEALTH DR SW, SUITE 230, WYOMING, MI 49519-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006542
MI
Other
Enumeration date
11/01/2012
Last updated
01/17/2014
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