Individual
KATHY LYNETTE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1101 S TENNESSEE ST, PINE BLUFF, AR 71601-5801
(870) 543-2300
Mailing address
2725 SERENADE DR, SHERWOOD, AR 72125-0000
(501) 590-6248
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R34747
AR
363LA2200X
Adult Health Nurse Practitioner
A03193
AR
363LF0000X
Family Nurse Practitioner
Primary
A03193
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188180758
—
AR
Enumeration date
01/06/2008
Last updated
11/19/2012
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