Kelley A Woodruff is a Pediatrics in Tacoma, Washington. Kelley A Woodruff practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelley A Woodruff is 1619903416. The last update date is 2019-12-31.
Kelley A Woodruff's current location address is 9040 Jacksaon Ave, Tacoma, Washington. You can contact this provider via phone number 2534595161. The mailing address for Kelley A Woodruff is 9040 Jacksaon Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley A Woodruff |
|---|---|
| Address | 9040 Jacksaon Ave, Tacoma, Washington |
| Phone Number | 2534595161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619903416 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
| Address | 9040 Jacksaon Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984310001 |
| Phone Number | 2534595161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD8054 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD805403 | HI | AET,NYLC,PBP,UHC,QHCP | |
| 5727601 | HI | -- | |
| 0000D06595 | HI | HMSA,HMSA QUEST,BCBS | |
| 753021507 | HI | HILB,HMA,HMAA |
Post Comment/ Review Below
What is the unique identification code assigned to Kelley A Woodruff by the Centers for Medicare & Medicaid Services?
The Kelley A Woodruff has been issued the NPI (National Provider Identifier) 1619903416. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelley A Woodruff located?
The Kelley A Woodruff is located at 9040 Jacksaon Ave, Tacoma, WA 984310001.
What is Kelley A Woodruff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelley A Woodruff is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
When was the Kelley A Woodruff's 1619903416 issued?
The Kelley A Woodruff's 1619903416 was issued on 2006-06-23.
As of what date were the details related to Kelley A Woodruff most recently updated or revised?
The information pertaining to Kelley A Woodruff, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-31.
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