Most Relevant Information
Provider Data
| NPI Number: | 1003065806 |
| Provider Name: | KENNETH J WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 347C00000X |
| Specialty: | Private Vehicle |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2008 |
| Last Updated: | 09/17/2008 |
Provider Practice Location
220 N EAST AVE
MONTPELIER
OH
435431104
Practice Location Phone/Fax
| Phone: | 4198197114 |
| Fax: |
Provider Mailing Location
220 N EAST AVE
MONTPELIER
OH
435431104
Provider Mailing Phone/Fax
| Phone: | 4198197114 |
| Fax: |