Healthcare Provider Details

I. General information

NPI: 1518308337
Provider Name (Legal Business Name): JAMES BRETT WOODIE DVM, MS, DACVS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 GEORGETOWN RD
LEXINGTON KY
40511-9072
US

IV. Provider business mailing address

PO BOX 12070
LEXINGTON KY
40580-2070
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-0371
  • Fax:
Mailing address:
  • Phone: 859-233-0371
  • Fax: 859-258-2824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberNS-KY-3730
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: