Woodson, Kenneth Lee

Woodson, Kenneth Lee is an individual health care provider with primary practice located at 945 Barnes Rd , Antioch TN 37013-4418. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Woodson, Kenneth Lee can be contacted via phone (615) 533-1933.

Contact Information

Primary practice address
945 Barnes Rd Antioch TN 37013-4418
Fax: (615) 834-4782
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 113486 Tennessee

Profile Details

NPI number 1811033921
LBN Legal business name Woodson, Kenneth Lee
Credentials ATS, CRTS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1811033921 NPPES
Tennessee Other 00E52 DMRS PROVIDER #
Tennessee Other 00E40 DMRS PROVIDER #

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