Individual
DR. KENNETH W WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 N WASHINGTON AVE, STE 130, COOKEVILLE, TN 38501-2623
(931) 854-9880
(931) 854-0919
Mailing address
315 N WASHINGTON AVE, STE 130, COOKEVILLE, TN 38501-2623
(931) 854-9880
(931) 854-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD29817
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509095
—
TN
05
—
3839072
—
TN
Enumeration date
08/22/2005
Last updated
06/08/2016
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