Individual
KENNETH LEE WOODS II
Active
Individual
KENNETH LEE WOODS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010221
OH
207R00000X
Internal Medicine Physician
OS015559
PA
207RI0200X
Infectious Disease Physician
Primary
34010221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050414
—
OH
05
—
3810025729
—
WV
01
—
H012060
MEDICARE (OHIO)
OH
Enumeration date
07/06/2008
Last updated
04/21/2021
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