Woods, Kelley Jane

Woods, Kelley Jane is an individual health care provider with primary practice located at 3815 S Jones Blvd 3815 So Jones Blvd #6, Las Vegas NV 89103-2289. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Woods, Kelley Jane can be contacted via phone (702) 354-2452.

Contact Information

Primary practice address
3815 S Jones Blvd 3815 So Jones Blvd #6 Las Vegas NV 89103-2289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NV9905 Nevada

Profile Details

NPI number 1578544581
LBN Legal business name Woods, Kelley Jane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 27th, 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 1578544581 NPPES
Nevada Other 8842 BLUE CROSS NUMBER

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