Individual
DR. KIMBERLY A WOUDSMA-WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
606 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1802
(215) 836-8888
(215) 836-1588
Mailing address
606 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1802
(215) 836-8888
(215) 836-1588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008025L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2269666000
KEYSTONE HMO PROVIDER NUM
PA
01
—
3047392
AETNA HMO PROVIDER
PA
01
—
7787438
AETNA PPO PROVIDER #
PA
01
—
WO1586226
PA BLUE SHIELD PROVIDER N
PA
Enumeration date
06/02/2006
Last updated
02/08/2012
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