Kenneth Lee Woodson in Antioch - Home Modifications

Kenneth Lee Woodson - NPI 1811033921

Kenneth Lee Woodson is a Home Modifications in Antioch, Tennessee. Kenneth Lee Woodson practices all healthcare services and medical treatments related to Home Modifications. The NPI Number for Kenneth Lee Woodson is 1811033921. The last update date is 2007-07-08.

Kenneth Lee Woodson's current location address is 945 Barnes Rd, Antioch, Tennessee. You can contact this provider via phone number 6155331933 and fax number 6158344782. The mailing address for Kenneth Lee Woodson is 945 Barnes Rd, Antioch, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Lee Woodson
Address 945 Barnes Rd, Antioch, Tennessee
Phone Number 6155331933
Fax Number 6158344782
Sole Proprietor N
Credentials ATS, CRTS

NPI Number Detail

NPI Number 1811033921
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 945 Barnes Rd
City Antioch
State Tennessee (TN)
Post Code 370134418
Phone Number 6155331933
Fax Number 6158344782

Provider's Primary Taxonomy Detail

Speciality Home Modifications
Taxonomy 171Wh0202X
Licence No 113486
Definition:
A contractor who evaluates homes and installs modifications like ramps and grab bars to improve safety and accessibility.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0 TN DMRS PROVIDER #
0 TN DMRS PROVIDER #

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FAQs about Kenneth Lee Woodson

What is the Kenneth Lee Woodson's 1811033921?

The Kenneth Lee Woodson's NPI (National Provider Identifier) Number is 1811033921. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kenneth Lee Woodson is physically located?

The Kenneth Lee Woodson is situated at the following address: 945 Barnes Rd, Antioch, TN 370134418.

What is Kenneth Lee Woodson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth Lee Woodson is Home Modifications, and the corresponding taxonomy classification code for this specialized field is 171Wh0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811033921 to Kenneth Lee Woodson?

The Centers for Medicare & Medicaid Services assigned the 1811033921 to Kenneth Lee Woodson on 2007-01-29.

When was the information related to Kenneth Lee Woodson most recently updated or refreshed?

The details pertaining to the Kenneth Lee Woodson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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