Kerry L Woolum, DMD Valid NPI
Individual provider · General Practice Dentistry · Pineville, KY
- NPI
- 1720148984
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4864 (KY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-12-11
- Last updated
- 2007-08-14
Practice location
121 W Virginia Ave
Pineville, KY 40977-1600
(606) 337-3034