Individual
MR. KELLY JAMES WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 W 1700 S, CLEARFIELD, UT 84016-6004
(801) 416-4473
Mailing address
280 N 1275 E, LAYTON, UT 84040-4018
(801) 544-9714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
216216-1206
UT
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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