Provider Demographics
NPI:1861467243
Name:WOODARD, MARILOU KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILOU
Middle Name:KAY
Last Name:WOODARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1401 EAST GOLD COAST ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046
Mailing Address - Country:US
Mailing Address - Phone:402-597-9378
Mailing Address - Fax:402-597-9253
Practice Address - Street 1:1401 EAST GOLD COAST RD.
Practice Address - Street 2:SUITE 600
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-597-9378
Practice Address - Fax:402-597-9253
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE183522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry