Wood, Kelly Michelle

Wood, Kelly Michelle is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wood, Kelly Michelle can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN144656 Georgia

Profile Details

NPI number 1669576252
LBN Legal business name Wood, Kelly Michelle
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 3rd, 2011 - about 14 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 1669576252 NPPES
Georgia MEDICAID 123300944B
Georgia Other 359603
Georgia MEDICAID 123300944A
Georgia MEDICAID 123300944C
Georgia MEDICAID 123300944D
Georgia Other 10063406
Georgia Other 10063406

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