Individual provider · Type 1 NPI
Robert Kelvin Woodruff, D.P.M., P.A.
Foot Surgery Podiatrist · Jackson, MS
NPI number
1336220177
Active
Practice location
3855 Azalea Drive
Jackson, MS 39206-5105
Fax (601) 366-7860
Mailing address
1055 Hubb Rd
Bolton, MS 39041-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 80102 (MS) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1336220177
Robert Kelvin Woodruff, D.P.M., P.A.'s National Provider Identifier is 1336220177, issued on Oct 18, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Jackson, MS. The record was last updated on Sep 10, 2021.