IndividualActive
Kelley Woodruff, M.D.
NPI 1619903416 · Pediatric Adolescent Medicine Physician · Tacoma, WA
Provider details
- NPI number
- 1619903416
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD8054 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9040 Jacksaon Ave
Tacoma, WA 98431-0001
Phone: (253) 459-5161
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jacksaon Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.