Individual
JAMES RICHARD WOODY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 HOSPITAL ST, MONTICELLO, KY 42633-2416
(606) 348-9343
(865) 291-3228
Mailing address
166 HOSPITAL ST, MONTICELLO, KY 42633-2430
(606) 348-9343
(606) 340-3258
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33157
KY
207R00000X
Internal Medicine Physician
33157
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64012461
—
KY
01
—
P00350318
MEDICARE RAILROAD
KY
Enumeration date
05/27/2006
Last updated
01/26/2021
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