KELLIE WOODRUFF APRN NPI 1013988351

NPI Information

NPI: 1013988351
Provider Name: KELLIE WOODRUFF, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-3400
Get Directions

Kellie Woodruff, APRN is a pediatrics nurse practitioner in Louisville, KY. Kellie Woodruff, APRN NPI is 1013988351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 E CHESTNUT ST # STREET7
LOUISVILLE, KY
ZIP 40202-713
Phone: (502) 588-3400
Fax: (502) 588-3401

The NPI 1013988351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 10/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	3003826	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200889660	MEDICAID	INDIANA
2	7801454500	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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