Individual
KIMBERLY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2615 E 20TH ST, JOPLIN, MO 64804-1039
(417) 624-4701
(417) 624-9807
Mailing address
2615 E 20TH ST, JOPLIN, MO 64804-1039
(417) 624-4701
(417) 624-9807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R5F03
MO
208M00000X
Hospitalist Physician
Primary
15412
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021255
RR MEDICARE
—
05
—
100136350A
—
OK
05
—
100187420A
—
KS
05
—
202232807
—
MO
01
—
9200
ANTHEM
MO
Enumeration date
07/03/2006
Last updated
02/24/2026
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