Individual
DR. MCKENZIE ELIZABETH WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2307 KENTUCKY AVE, PADUCAH, KY 42003-3243
(270) 443-7405
Mailing address
2307 KENTUCKY AVE, PADUCAH, KY 42003-3243
(270) 443-7405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9355
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9355
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100378140
—
KY
Enumeration date
12/20/2013
Last updated
07/21/2022
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