Kenneth Woodruff in Knoxville - Geriatrics

Kenneth Woodruff - NPI 1003909110

Kenneth Woodruff is a Geriatrics in Knoxville, Tennessee. Kenneth Woodruff practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Kenneth Woodruff is 1003909110. The last update date is 2007-07-27.

Kenneth Woodruff's current location address is 9047 Executive Park Dr, Knoxville, Tennessee. You can contact this provider via phone number 8655315820 and fax number 8655396461. The mailing address for Kenneth Woodruff is 9047 Executive Park Dr, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Woodruff
Address 9047 Executive Park Dr, Knoxville, Tennessee
Phone Number 8655315820
Fax Number 8655396461
Sole Proprietor N
Credentials RPT

NPI Number Detail

NPI Number 1003909110
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-27

Provider Mailing Address Detail

Address 9047 Executive Park Dr
City Knoxville
State Tennessee (TN)
Post Code 379234605
Phone Number 8655315820
Fax Number 8655396461

Provider's Primary Taxonomy Detail

Speciality Geriatrics
Taxonomy 2251G0304X
Licence No 5634
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid

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FAQs about Kenneth Woodruff

What is the unique 10-digit identification code issued to Kenneth Woodruff by the Centers for Medicare & Medicaid Services?

The Kenneth Woodruff has been assigned the NPI (National Provider Identifier) 1003909110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Kenneth Woodruff is located?

The Kenneth Woodruff is situated at the following address: 9047 Executive Park Dr, Knoxville, TN, 379234605.

What is Kenneth Woodruff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Woodruff is Geriatrics, and the taxonomy classification code that categorizes this area of expertise is 2251G0304X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003909110 to Kenneth Woodruff?

The Kenneth Woodruff received its 1003909110 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.

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

The details pertaining to the Kenneth Woodruff, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-27.

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