Individual
KAITLYN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3100
Mailing address
1064 WOODGROVE TRL, HALIFAX, VA 24558-2444
(434) 334-8274
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000565
VA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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