| Doctor Name: | MS. KATHLEEN ANN WOODRUFF |
| NPI Number: | 1134350978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, FNP |
| License Number: | F335955-1 |
| Business Practice Address: | 139 Fields Dr Oneida, NY - 134212642 |
| Business Phone Number: | 3153639380 |
| Business Fax Number: | 3153639382 |
| Mailing Address: | 139 Fields Dr, ONEIDA |
| State: | NY |
| Postal Code: | 134212642 |
| Phone Number: | 3153639380 |
| Fax Number: | 3153639382 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F335955-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |