Wood, Kelley

Wood, Kelley is an individual health care provider with primary practice located at 3803 Peachtree Ave , Wilmington NC 28403-6727. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wood, Kelley can be contacted via phone (910) 313-2111.

Contact Information

Primary practice address
3803 Peachtree Ave Wilmington NC 28403-6727
Phone: (910) 313-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5427 North Carolina

Profile Details

NPI number 1205982097
LBN Legal business name Wood, Kelley
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205982097 NPPES
North Carolina MEDICAID 7301722

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