Individual
KATHRYN A WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 AVIATION DR, SUITE 100, HAILEY, ID 83333-8785
(208) 788-3434
(208) 788-2025
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5256
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004009500
—
ID
01
—
P00659686
MCRR
ID
Enumeration date
06/06/2006
Last updated
09/06/2012
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