DR. KELLEY A WOODRUFF (M.D.) – Pediatric Adolescent Medicine Physician, NPI 1619903416
Pediatric Adolescent Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KELLEY A WOODRUFF (M.D.)
9040 JACKSAON AVE
TACOMA, WA 984310001
Phone: (253) 459-5161
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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