Woods, Dustin Ray
Woods, Dustin Ray is an individual health care provider with primary practice located at 2501 Kentucky Ave , Paducah KY 42003-3813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Woods, Dustin Ray can be contacted via phone (270) 575-2244.Contact Information
Primary practice address
2501 Kentucky Ave
Paducah KY 42003-3813
Phone: (270) 575-2244
Fax: (270) 575-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R0880 | Kentucky |
Profile Details
| NPI number | 1518007822 |
|---|---|
| LBN Legal business name | Woods, Dustin Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Feb 10th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518007822 | NPPES |
| Kentucky | MEDICAID | 7100267040 | |
| Kentucky | Other | P01588988 |
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