KELLERYN V WOOD F.N.P.
NPI 1598824591
Nurse Practitioner - Family in South Portland, ME

Active since December 06, 2006
800 MAIN ST, SOUTH PORTLAND, ME 04106(207) 828-1133(207) 828-8077 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelleryn V Wood F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLERYN V WOOD F.N.P. (NPI 1598824591) is an individual family provider in South Portland, Maine, licensed in Maine (363L00000X) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1598824591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLERYN V WOODCredential: F.N.P.
Location Address800 MAIN STSouth Portland, ME 04106-6049
Mailing Address800 Main StSouth Portland, ME 04106-6049 · (207) 828-1133 · Fax (207) 828-8077
Fax(207) 828-8077
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 4, 2009
NPI 1598824591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · 363L00000X
800 MAIN ST, South Portland, ME 04106

Other Identifiers 3

Medicare ID-Type UnspecifiedNP1307ME
Medicaid248410099ME
Medicare PINNP130702ME

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
800 MAIN ST
SOUTH PORTLAND, ME 04106
Clinic/Center (Physical Therapy)
800 MAIN ST
SOUTH PORTLAND, ME 04106
Specialist
800 MAIN ST
SOUTH PORTLAND, ME 04106
Durable Medical Equipment & Medical Supplies
800 MAIN ST
SOUTH PORTLAND, ME 04106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598824591, enumerated as an "individual" on December 06, 2006.

The provider is located at 800 MAIN ST SOUTH PORTLAND, ME 04106 and the phone number is (207) 828-1133.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.