Individual
MRS. KATIE L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
118 W 3RD ST, MADISON, NE 68748-0595
(402) 454-1303
Mailing address
PO BOX 595, 118 W 3RD ST, MADISON, NE 68748-0595
(402) 454-1303
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1671
NE
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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