Individual
KELLY ANN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP/FPNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1651940
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
R165194-0
MN
Other
Enumeration date
06/13/2005
Last updated
04/07/2022
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