Individual
DR. DAWN ANDREA WOODROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 JOE T PETTY DRIVE, RUSSELL SPRINGS, KY 42642-8553
(606) 658-9535
(270) 266-4189
Mailing address
PO BOX 1430, FRANKFORT, KY 40602-1430
(502) 226-3858
(502) 227-5081
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A84696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43825
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
01
—
A84696
CA LICENSE NUMBER
CA
Enumeration date
10/04/2007
Last updated
08/10/2012
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