Provider Demographics
NPI:1750386421
Name:WOOLARD, KENT A (MD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:A
Last Name:WOOLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6839 S CANTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3402
Mailing Address - Country:US
Mailing Address - Phone:918-494-6012
Mailing Address - Fax:918-481-5170
Practice Address - Street 1:6839 S CANTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3402
Practice Address - Country:US
Practice Address - Phone:918-494-6012
Practice Address - Fax:918-481-5170
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2010-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK13830207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology