Individual
MRS. KACIE E WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
Mailing address
1511 SAND SPRINGS RD, GORDO, AL 35466-4018
(205) 331-3235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FO6151359
AL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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