Wood, Kelly Ann
Wood, Kelly Ann is an individual health care provider with primary practice located at Elm And Carlton St , Buffalo NY 14263-8679. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Wood, Kelly Ann can be contacted via phone (716) 845-2300.Contact Information
Primary practice address
Elm And Carlton St
Buffalo NY 14263-8679
Phone: (716) 845-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 42015 | Tennessee |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD072743L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101058854 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101058854 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD072743L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 42015 | Tennessee |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 205799 | New York |
Profile Details
| NPI number | 1477514305 |
|---|---|
| LBN Legal business name | Wood, Kelly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Feb 12th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477514305 | NPPES |
| Virginia | Other | -122 | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 1477514305 | TRICARE/CHAMPUS |
| Virginia | Other | 205799 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 001827933003 | TRICARE/CHAMPUS |
| Virginia | Other | 0101058854 | TRICARE/CHAMPUS |
| Virginia | Other | 1477514305 | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 5921779 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 1477514305 | TRICARE/CHAMPUS |
| Virginia | Other | 490247 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 3000364 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 1477514305 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
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