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Individual

PENNY R WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126-9084
(731) 394-1145

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005979
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100181810
KY
Enumeration date
06/16/2009
Last updated
04/30/2024
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