Kenneth Keith Woodington, APRN
Nurse Practitioner in Decatur, GA. Individual provider (NPI-1).
NPI number1164040036
StatusActive
Last updated in NPPESDec 8, 2025
Details
- NPI
- 1164040036
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Keith Woodington
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Dec 8, 2025
- Last updated
- Dec 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN238883 | GA | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | RN238883 | GA | |
| 363LA2200X | Nurse Practitioner, Adult Health | RN238883 | GA |
Other names
- Kenneth Keith Bullington (Former Name)
Practice location
2675 N Decatur Rd Ste 200Decatur, GA 30033-6132
Phone 044-501-7040 · Fax 404-501-7644
Mailing address
2675 N Decatur Rd Ste 200Decatur, GA 30033-6132
Phone 404-778-1900
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