Woolum, Kerry L

Woolum, Kerry L is an sole proprietor health care provider with primary practice located at 121 W Virginia Ave , Pineville KY 40977-1600. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Woolum, Kerry L can be contacted via phone (606) 337-3034.

Contact Information

Primary practice address
121 W Virginia Ave Pineville KY 40977-1600
Phone: (606) 337-3034
Fax: (606) 337-5305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4864 Kentucky
Dental Providers / General Practice 1223G0001X 4864 Kentucky

Profile Details

NPI number 1720148984
LBN Legal business name Woolum, Kerry L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Aug 14th, 2007 - about 19 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 1720148984 NPPES
Kentucky MEDICAID 60048642

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