NPI 1811033921

Kenneth Lee Woodson, ATSCRTS

Practitioner Home Modifications Contractor Antioch, TN

Practice location

Address: 945 Barnes Rd, Antioch, TN 37013-4418
Phone: (615) 533-1933
Fax: (615) 834-4782

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 113486 (TN)

Other Contractor providers in Tennessee →

Registry record

NPI: 1811033921
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2007
Record last updated: 8 Jul 2007

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.