Woodward, Kelly H
Woodward, Kelly H is an individual health care provider with primary practice located at 900 Round Valley Dr Suite 250, Park City UT 84060-7552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Woodward, Kelly H can be contacted via phone (435) 658-7882.Contact Information
Primary practice address
900 Round Valley Dr Suite 250
Park City UT 84060-7552
Phone: (435) 658-7882
Fax: (435) 333-3536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 9693614-1204 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9693614-1204 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102201996 | Virginia |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 0102201996 | Virginia |
Profile Details
| NPI number | 1548243645 |
|---|---|
| LBN Legal business name | Woodward, Kelly H |
| Credentials | D.O., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Aug 12th, 2021 - about 5 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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