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Individual

KELLY MICHELLE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN-CNM144656
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10063406
AMERIGROUP
GA
05
123300944A
GA
05
123300944B
GA
05
123300944C
GA
05
123300944D
GA
01
359603
WELLCARE
GA
Enumeration date
09/12/2006
Last updated
10/30/2025
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