Wood, Kenneth W

Wood, Kenneth W is an individual health care provider with primary practice located at 315 N Washington Ave Ste 130, Cookeville TN 38501-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wood, Kenneth W can be contacted via phone (931) 854-9880.

Contact Information

Primary practice address
315 N Washington Ave Ste 130 Cookeville TN 38501-2623
Phone: (931) 854-9880
Fax: (931) 854-0919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD29817 Tennessee

Profile Details

NPI number 1336131705
LBN Legal business name Wood, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336131705 NPPES
Tennessee MEDICAID 1509095
Tennessee MEDICAID 3839072

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