Individual
MS. KIMBERLY M. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
166 HANOVER ST, STE 203, WILKES BARRE, PA 18702-3549
(570) 825-8780
(570) 825-8785
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053983
PA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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