person
Krystle M Wood, PA
Medical Physician Assistant in Lehighton, Pennsylvania
NPI 1174861116

Krystle M Wood is a Medical Physician Assistant based in Lehighton, PA and is specialized in Medical. Krystle M Wood practices in Lehighton, PA and has the professional credentials of PA. The NPI Number for Krystle M Wood is 1174861116 and holds a License No. MA055903 (Pennsylvania).

The current practice location address for Krystle M Wood is 211 N 12Th St, Lehighton, PA and can be reached out via phone at 610-377-7174 and via fax at 610-377-4785.

Location: 211 N 12Th St, Lehighton, PA, 18235-1138
person
Provider Profile Details
NPI Number
1174861116
Provider Name
Krystle M Wood
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
211 N 12Th St, Lehighton, PA, 18235-1138
Phone Number
610-377-7174
Fax Number
610-377-4785
Provider Enumeration Date
01/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA055903 01 PA MEDICAL LICENCE
institution
Provider Business Practice Location Address Details
Address
211 N 12Th St
City
State
Zip
18235-1138
Phone Number
610-377-7174
Fax Number
610-377-4785
person
Provider Business Mailing Address Details
Address
211 N 12Th St
City
State
Zip
18235-1138
Phone Number
610-377-7174
Fax Number
610-377-4785
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA055903 (Pennsylvania)
Definition
Definition to come...
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