Woodruff, Kellie

Woodruff, Kellie is an individual health care provider with primary practice located at 411 E Chestnut St # Street7 , Louisville KY 40202-1713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Woodruff, Kellie can be contacted via phone (502) 588-3400.

Contact Information

Primary practice address
411 E Chestnut St # Street7 Louisville KY 40202-1713
Phone: (502) 588-3400
Fax: (502) 588-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3003826 Kentucky

Profile Details

NPI number 1013988351
LBN Legal business name Woodruff, Kellie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 11th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013988351 NPPES
Indiana MEDICAID 200889660
Indiana MEDICAID 7801454500

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