Individual
MR. STEVEN CRAIG WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
2507 BROADWAY, PADUCAH, KY 42001
(270) 442-8228
(270) 442-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3001568
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74419581
—
KY
Enumeration date
09/27/2006
Last updated
07/21/2022
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