Wood, Kevin Michael

Wood, Kevin Michael is an individual health care provider with primary practice located at 200 Hawkins Dr 2525 Jcp, Iowa City IA 52242-1009. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Wood, Kevin Michael can be contacted via phone (319) 384-9977.

Contact Information

Primary practice address
200 Hawkins Dr 2525 Jcp Iowa City IA 52242-1009
Phone: (319) 384-9977
Fax: (319) 353-7986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 622 Iowa
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 00622 Iowa
Behavioral Health & Social Service Providers / Health 103TH0004X 00210 Iowa
Behavioral Health & Social Service Providers / School 103TS0200X 00622 Iowa

Profile Details

NPI number 1437220365
LBN Legal business name Wood, Kevin Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 29th, 2010 - 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 1437220365 NPPES
Iowa MEDICAID 0459529
Iowa Other 31342

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