Individual
KELLEY ELIZABETH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
313 S LOCUST ST, GREENCASTLE, IN 46135-1736
(765) 658-4800
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5570
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28196458A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007714A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/02/2017
Last updated
03/17/2021
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