Individual
KELLY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9724
Mailing address
8901 ROCKVILLE PIKE, NUTRITION SERVICES, BETHESDA, MD 20889-0001
(301) 400-2702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133V00000X
DOD TRICARE
—
Enumeration date
10/23/2014
Last updated
04/14/2020
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