| Doctor Name: | KENNETH E. WOODS |
| NPI Number: | 1043331572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.C.S.W. |
| License Number: | 004081 |
| Business Practice Address: | 8129 Delmar Blvd Suite 200 University City, MO - 631303739 |
| Business Phone Number: | 3144904633 |
| Business Fax Number: | |
| Mailing Address: | 8129 Delmar Blvd, Suite 200 UNIVERSITY CITY |
| State: | MO |
| Postal Code: | 631303739 |
| Phone Number: | 3144904633 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 004081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |