Individual
KATIE LEE WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1116 VETERANS PKWY, CLARKSVILLE, IN 47129-2370
(812) 283-1100
Mailing address
4213 MACHUPE DR, LOUISVILLE, KY 40241-1567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014820A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2025
Last updated
07/01/2025
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