Mr Kelly James Wood, PA-C is a
Physician Assistant - Medical based in Clearfield, Utah. Mr Kelly James Wood is licensed to practice in Utah (license number 216216-1206) and his current practice location is
20 W 1700 S, Clearfield, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 416-4473.
NPI number for Mr Kelly James Wood is 1295837888 and his current mailing address is 280 N 1275 E, Layton, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295837888.
Provider's Profile
| Full Name | Mr Kelly James Wood |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant - Medical |
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| Location | 20 W 1700 S, Clearfield, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295837888
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kelly James Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295837888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 216216-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly James Wood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kelly James Wood, PA-C
280 N 1275 E,
Layton, UT 84040-4018
Ph: (801) 544-9714 | Mr Kelly James Wood, PA-C
20 W 1700 S,
Clearfield, UT 84016-6004
Ph: (801) 416-4473 |
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