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Search › Missouri › 237700000X

Kevin Woodruff

NPI 1295452233 · on the registry since 2022

Practice

Address
2100 Maplewood Commons Dr
Maplewood, MO 63143
Phone
(314) 644-3056
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri