Individual
THOMAS ALLAN WOODWARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
K142 KENTUCKY CLINIC, LEXINGTON, KY 40536-0284
(859) 323-3864
(859) 857-2195
Mailing address
PO BOX 719, BURGIN, KY 40310-0719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14929
STATE LICENSURE BOARD
KY
Enumeration date
10/24/2005
Last updated
07/08/2007
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