Individual
KELLY R. WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1140 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 868-1100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3010226
KY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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