Kelley, Elizabeth Wood

Kelley, Elizabeth Wood is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Kelley, Elizabeth Wood can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38437 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 38437 Minnesota

Profile Details

NPI number 1316971039
LBN Legal business name Kelley, Elizabeth Wood
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316971039 NPPES
Minnesota MEDICAID 217069800
Minnesota MEDICAID 32161200

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