Individual
KATRICE RENEE WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7339
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
(269) 341-8481
(269) 341-8481
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704222609
MI
Other
Enumeration date
01/13/2015
Last updated
01/31/2022
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