Individual
KEVIN LEE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3366 NW EXPRESSWAY, SUITE 200, OKLAHOMA CITY, OK 73112-4462
(405) 713-9930
(405) 713-9931
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-9930
(405) 713-9931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16866
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107610A
—
OK
Enumeration date
04/17/2006
Last updated
07/21/2017
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