Wood, Angela D.

Wood, Angela D. is an individual health care provider with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wood, Angela D. can be contacted via phone (859) 744-5111.

Contact Information

Primary practice address
475 Shoppers Dr Winchester KY 40391-1380
Phone: (859) 744-5111
Fax: (859) 744-1177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003648 Kentucky

Profile Details

NPI number 1225084072
LBN Legal business name Wood, Angela D.
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 2nd, 2015 - about 11 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 1225084072 NPPES
Kentucky Other 6400 GROUP MEDICARE #
Kentucky MEDICAID 78901261 GROUP MEDICARE #
Kentucky MEDICAID 78006012 GROUP MEDICARE #

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