Individual
KEVIN EDWARD WOODHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 W PUEBLO ST, RENO, NV 89509-2845
(209) 470-5439
Mailing address
130 W PUEBLO ST, RENO, NV 89509-2845
(209) 470-5439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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