MR. KELLY JAMES WOOD (NPI# 1295837888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295837888 |
| Entity Type | Individual |
| Full Name | MR. KELLY JAMES WOOD |
| Credential | PA-C |
| Practice Address |
20 W 1700 S Clearfield UT 84016-6004 |
| Mailing Address |
280 N 1275 E Layton UT 84040-4018 |
| Practice Telephone | 8014164473 |
| Mailing Telephone | 8015449714 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
216216-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231916 | Kelly Wood | Social Worker | 305 Wilson Ave, Glassboro, NJ 08028-8350 | 2020-03-27 |
| 1558744854 | Kelly Wood | Case Manager/Care Coordinator | 1138 6th Ave, Lake Odessa, MI 48849-1059 | 2015-07-04 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1821245747 | Kelly L Wood | Chiropractor | 518 W Platte Ave, Colorado Springs, CO 80905-1334 | 2008-08-21 |
| 1619193869 | Kelly Ann Wood | Family Medicine | 521 N Borders Ave Ste C, Marissa Medical Clinic, Marissa, IL 62257-1195 | 2007-04-17 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1235207929 | Kelly Sue Wood | Occupational Therapy Assistant | 1942 Old Dekalb Rd, Canton, NY 13617 | 2006-12-01 |
| 1851478069 | Kelly Copps Wood | Dentist | 7679 N Longview Dr, Glendale, WI 53209-1863 | 2006-11-01 |
| 1649703109 | Kelly Cole Wood | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2017-04-11 |
| Street Address |
20 W 1700 S |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84016-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803792 | Cynthia L. Haacke | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2005-09-29 |
| 1306320155 | Darryl Hardy | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2018-09-18 |
| 1184040081 | Lori Walker | Counselor | 20 W 1700 S, Clearfield, UT 84016-6004 | 2014-03-16 |
| 1487886560 | Brandy M Bates | Physician Assistant | 20 W 1700 S, Clearfield, UT 84016-6004 | 2009-08-21 |
| 1871514844 | Clearfield Job Corps Pharmacy | Pharmacy | 20 W 1700 S, Clearfield, UT 84016-6004 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637305 | Futura Medical Clinic | Clinic/Center | Bldg H11 Freeport Center, Clearfield, UT 84016 | 2017-02-06 |
| 1699122275 | Specialty Marketing, LLC | Dentist | Bldg D 12 Freeport Industrial Parkway, Clearfield, UT 84016 | 2016-05-24 |
| 1225338130 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | Freeport Center, Bldg H-12, Clearfield, UT 84016 | 2010-10-26 |
| 1780944025 | Ihc Health Services Inc | Family Medicine | Freeport Center, Bldg D-12, Clearfield, UT 84016-0010 | 2012-05-21 |
| 1740381490 | Jeffrey Kirk Wood | Dentist | 20 W. 1700 S., Clearfield, UT 84016-0074 | 2006-09-26 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759604 | Austin Clinger | Physician Assistant | 519 Williams St Apt 10, Clearfield, PA 16830-1400 | 2020-08-03 |
| 1275583247 | Thea A Richardson | Physician Assistant | 1036 Park Avenue Ext, Clearfield, PA 16830-4028 | 2006-05-11 |
| 1851819049 | Emily Susan Danver | Physician Assistant | 815 Doctors Dr, Clearfield, PA 16830-1240 | 2017-09-07 |
| 1487088340 | Victoria Adams | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-28 |
| 1801008792 | Holly Jean Hipps | Physician Assistant | 1033 Turnpike Ave, Suite 300, Clearfield, PA 16830-3061 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 84016 |
Please comment or provide details below to improve the information on MR. KELLY JAMES WOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.