person
Kelleryn V Wood, FNP
Family Nurse Practitioner in South Portland, Maine
NPI 1598824591

Kelleryn V Wood is a Family Nurse Practitioner based in South Portland, ME and is specialized in Family. Kelleryn V Wood practices in South Portland, ME and has the professional credentials of FNP. The NPI Number for Kelleryn V Wood is 1598824591 and holds a License No. 363L00000X (Maine).

The current practice location address for Kelleryn V Wood is 800 Main St, South Portland, ME and can be reached out via phone at 207-828-1133 and via fax at 207-828-8077.

Location: 800 Main St, South Portland, ME, 04106-6049
person
Provider Profile Details
NPI Number
1598824591
Provider Name
Kelleryn V Wood
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
800 Main St, South Portland, ME, 04106-6049
Phone Number
207-828-1133
Fax Number
207-828-8077
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
248410099 05 ME
institution
Provider Business Practice Location Address Details
Address
800 Main St
City
State
Zip
04106-6049
Phone Number
207-828-1133
Fax Number
207-828-8077
person
Provider Business Mailing Address Details
Address
800 Main St
City
State
Zip
04106-6049
Phone Number
207-828-1133
Fax Number
207-828-8077
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
363L00000X (Maine)
Definition
Definition to come...
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