Kayleigh Marie Wood, LPN
Individual provider Active NPI Licensed Practical Nurse · Phoenix, NY
NPI 1407519481 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1407519481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 336408 (NY)
- Practice address
- 500 County Line Rd
Phoenix, NY 13135-4270 - Phone
- (315) 695-3996
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336408 | NY | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 336408 | NY | Yes |
Addresses
Primary practice location
500 County Line Rd
Phoenix, NY 13135-4270
Mailing address
500 County Line Rd
Phoenix, NY 13135-4270
Phone (315) 695-3996
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mkwood7113@outlook.com | Direct |
Other providers in Phoenix, NY
- Patricia Irene Smith
- Claudia Sobik
- Crystal Elizabeth Tangorra
- Bridget Elizabeth Walts
- Beth A Whipple
- Chrissoula Chrissa Zarafonitis
All providers in Phoenix, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.