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DR. KELLY H WOODWARD D.O. M.P.H. NPI 1548243645


NPI Information

NPI: 1548243645
Provider Name: DR. KELLY H WOODWARD, D.O., M.P.H.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
900 ROUND VALLEY DR
SUITE 250
PARK CITY, UT
ZIP 84060
Phone: (435) 658-7882
Get Directions

DR. Kelly H Woodward, D.O., M.P.H. is a public health and general preventive medicine preventive medicine in Park City, UT with 40 years of experience. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Kelly H Woodward, D.O., M.P.H. NPI is 1548243645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 ROUND VALLEY DR
SUITE 250
PARK CITY, UT
ZIP 84060-552
Phone: (435) 658-7882
Fax: (435) 333-3536

The NPI 1548243645 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 11/22/2005 and was last updated on 8/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0102201996VIRGINIANo
2207Q00000XFamily Medicine9693614-1204UTAHNo
32083P0901XPreventive MedicinePublic Health & General Preventive Medicine0102201996VIRGINIANo
42083P0901XPreventive MedicinePublic Health & General Preventive Medicine9693614-1204UTAHYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.