Individual
KELLY ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-8679
(716) 845-2300
Mailing address
71 VISTA CT, WEST SENECA, NY 14224-5033
(412) 657-7662
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101058854
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
205799
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42015
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD072743L
PA
207RP1001X
Pulmonary Disease Physician
0101058854
VA
207RP1001X
Pulmonary Disease Physician
42015
TN
207RP1001X
Pulmonary Disease Physician
MD072743L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-122
TRICARE/CHAMPUS
VA
05
—
001827933003
—
PA
01
—
0101058854
LICENSE
VA
01
—
1477514305
COVENTRY HEALTH NETWORK
VA
05
—
1477514305
—
VA
01
—
205799
NYS LICENSE
NY
05
—
3000364
—
TN
01
—
490247
ANTHEM BC/BS
VA
05
—
5921779
—
NC
01
—
PAR
AETNA
VA
Enumeration date
03/30/2006
Last updated
02/12/2021
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