Individual
DR. KATHLEEN ANN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 13TH AVE N, APT. 310, FARGO, ND 58102-2680
(218) 779-0533
Mailing address
705 13TH AVE N, APT. 310, FARGO, ND 58102-2680
(218) 779-0533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4980
ND
208D00000X
General Practice Physician
4980
ND
Other
Enumeration date
07/12/2006
Last updated
10/21/2020
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