Provider Demographics
NPI:1407550247
Name:WOODFORD-SIMS, AKILAH KANI
Entity Type:Individual
Prefix:
First Name:AKILAH
Middle Name:KANI
Last Name:WOODFORD-SIMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 S RIVER TRAIL TER APT 813
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-7882
Mailing Address - Country:US
Mailing Address - Phone:310-956-0993
Mailing Address - Fax:
Practice Address - Street 1:3951 S RIVER TRAIL TER APT 813
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84123-7882
Practice Address - Country:US
Practice Address - Phone:310-956-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker