Wood, Kenneth W
Wood, Kenneth W is an individual health care provider with primary practice located at 315 N Washington Ave Ste 130, Cookeville TN 38501-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wood, Kenneth W can be contacted via phone (931) 854-9880.Contact Information
Primary practice address
315 N Washington Ave Ste 130
Cookeville TN 38501-2623
Phone: (931) 854-9880
Fax: (931) 854-0919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD29817 | Tennessee |
Profile Details
NPI number | 1336131705 |
---|---|
LBN Legal business name | Wood, Kenneth W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Jun 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336131705 | NPPES |
Tennessee | MEDICAID | 1509095 | |
Tennessee | MEDICAID | 3839072 |
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