Individual
LESLIE F WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 595-7744
(502) 595-7007
Mailing address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 238-9911
(502) 238-9912
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01067301A
IN
207RN0300X
Nephrology Physician
Primary
41597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200905880
—
IN
05
—
7100044380
—
KY
Enumeration date
04/25/2007
Last updated
09/08/2014
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