Woodson, Kenneth Lee
Woodson, Kenneth Lee is an individual health care provider with primary practice located at 945 Barnes Rd , Antioch TN 37013-4418. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Woodson, Kenneth Lee can be contacted via phone (615) 533-1933.Contact Information
Primary practice address
945 Barnes Rd
Antioch TN 37013-4418
Phone: (615) 533-1933
Fax: (615) 834-4782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 113486 | Tennessee |
Profile Details
| NPI number | 1811033921 |
|---|---|
| LBN Legal business name | Woodson, Kenneth Lee |
| Credentials | ATS, CRTS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1811033921 | NPPES |
| Tennessee | Other | 00E52 | DMRS PROVIDER # |
| Tennessee | Other | 00E40 | DMRS PROVIDER # |
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