Individual
KILEY J WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LMNT
Contact information
Practice address
8552 CASS ST, OMAHA, NE 68114-3567
(402) 955-3871
(402) 955-8738
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1736
NE
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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