Individual
KATHY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 MACINTOSH AVE, LAGRANGE, KY 40031-8911
(502) 225-9365
(502) 225-9365
Mailing address
5105 MACINTOSH AVE, LAGRANGE, KY 40031-8911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KWOOD57
CASE MANAGEMENT
KY
Enumeration date
03/23/2007
Last updated
07/08/2007
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