Provider Demographics
NPI:1609364041
Name:WOOD, KATHERINE MARIE SENF (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MARIE SENF
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:SENF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9565 HIGHWAY 78 BLDG 600A
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4116
Mailing Address - Country:US
Mailing Address - Phone:843-202-0288
Mailing Address - Fax:843-202-0284
Practice Address - Street 1:9565 HIGHWAY 78 BLDG 600A
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-4116
Practice Address - Country:US
Practice Address - Phone:843-202-0288
Practice Address - Fax:843-202-0284
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SCMD52771207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program