Provider Demographics
NPI:1417347501
Name:WOODS FAMILY HEALTH CARE PLLC
Entity Type:Organization
Organization Name:WOODS FAMILY HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-260-5570
Mailing Address - Street 1:14 MOONBOW PLZ
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8910
Mailing Address - Country:US
Mailing Address - Phone:606-523-5569
Mailing Address - Fax:606-523-5567
Practice Address - Street 1:14 MOONBOW PLZ
Practice Address - Street 2:SUITE 1
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-8910
Practice Address - Country:US
Practice Address - Phone:606-523-5569
Practice Address - Fax:606-523-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty