Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE C WOODERSON, D.O.
ActiveGeneral Surgery · GROVE, OK
Registration Details
- NPI Number
- 1508095977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2009 (16.78889918153 yrs)
- Last Updated
- Apr 5, 2017
- License
-
4824 (OK)
Practice Information
- Address
-
601 E 13TH STSTE HGROVE, OK, 743442989Browse OK providers · Browse ZIP 74344
- Phone
- 9187867300
- Fax
- 9187867303
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in GROVE, OK
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS ALLEN OHLSTROM | M.D., F.A.C.S. | 1326067174 |
| MS. HALEY ADAMS | DO | 1154747053 |
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.