NPI 1336220177

Robert Kelvin Woodruff, DPMPA

Practitioner Foot Surgery Podiatrist Jackson, MS

Practice location

Address: 3855 Azalea Drive, Jackson, MS 39206-5105
Phone: (601) 366-7063
Fax: (601) 366-7860
Mailing address: 1055 Hubb Rd, Bolton, MS 39041-8500

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 80102 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1336220177
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 10 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.