Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT KELVIN WOODRUFF, D.P.M., P.A.
Active Sole ProprietorDR. ROBERT KELVIN WOODRUFF, D.P.M., P.A. is a Foot Surgery Podiatrist healthcare provider located in JACKSON, Mississippi. NPI 1336220177 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · JACKSON, MS
Registration Details
- NPI Number
- 1336220177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.841402392215 yrs)
- Last Updated
- Sep 10, 2021
- License
-
80102 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3855 AZALEA DRIVEJACKSON, MS, 392065105Browse MS providers · Browse ZIP 39206
- Phone
- 6013667063
- Fax
- 6013667860
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.