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Individual

KATHY PARKER WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1717 OAK PARK BLVD, 3RD FLOOR, LAKE CHARLES, LA 70601-8991
(337) 480-8066
(337) 480-8339
Mailing address
PO BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 494-2772
(337) 494-2928

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A004439
AR
363LF0000X
Family Nurse Practitioner
Primary
AP08739
LA

Other

Enumeration date
07/06/2015
Last updated
10/20/2016
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