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Mr. Kenneth Lee Woodson, ATS,CRTS
Home Modifications Contractor in Antioch, Tennessee
NPI 1811033921

Kenneth Lee Woodson is a Home Modifications Contractor based in Antioch, TN and is specialized in Home Modifications. Kenneth Lee Woodson practices in Antioch, TN and has the professional credentials of ATS,CRTS. The NPI Number for Kenneth Lee Woodson is 1811033921 and holds a License No. 113486 (Tennessee).

The current practice location address for Kenneth Lee Woodson is 945 Barnes Rd, Antioch, TN and can be reached out via phone at 615-533-1933 and via fax at 615-834-4782.

Location: 945 Barnes Rd, Antioch, TN, 37013-4418
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Provider Profile Details
NPI Number
1811033921
Provider Name
Kenneth Lee Woodson
Credential
ATS,CRTS
Provider Entity Type
Individual
Gender
Male
Address
945 Barnes Rd, Antioch, TN, 37013-4418
Phone Number
615-533-1933
Fax Number
615-834-4782
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00E52 01 TN DMRS PROVIDER #
00E40 01 TN DMRS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
945 Barnes Rd
City
State
Zip
37013-4418
Phone Number
615-533-1933
Fax Number
615-834-4782
person
Provider Business Mailing Address Details
Address
945 Barnes Rd
City
State
Zip
37013-4418
Phone Number
615-533-1933
Fax Number
615-834-4782
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
113486 (Tennessee)
Definition
Definition to come...
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