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Individual

JAMES P WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
ONE MEDICAL VILLAGE DRIVE, INDEPENDENT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 12749, COVINGTON, KY 41012-0749
(859) 341-7246
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1046770
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
039564
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000288578
ANTHEM BLUE SHIELD
05
2055501
OH
05
74395641
KY
Enumeration date
03/14/2006
Last updated
04/01/2008
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