Provider Demographics
NPI:1710226584
Name:WOODS, KAY LYNN (APRN-CRNA)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:LYNN
Last Name:WOODS
Suffix:
Gender:F
Credentials:APRN-CRNA
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:LYNN
Other - Last Name:DAMRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:7344 NW 148TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-7858
Mailing Address - Country:US
Mailing Address - Phone:405-834-7090
Mailing Address - Fax:
Practice Address - Street 1:7344 NW 148TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-7858
Practice Address - Country:US
Practice Address - Phone:405-834-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83883367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered