Individual
MR. KENNETH A WOODARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LAT,ATC,PES,CES
Contact information
Practice address
211 REDBIRD LN, BEAUMONT, TX 77705-9801
(409) 880-7394
(409) 880-2366
Mailing address
211 REDBIRD LN, CAMPUS BOX 10611/ATHLETIC TRAINING, BEAUMONT, TX 77705-9801
(409) 880-7394
(409) 880-2366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6526
TX
Other
Enumeration date
07/03/2006
Last updated
07/21/2022
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