Individual ProviderKimberly WoodCounselorBehavioral Health & Social Service ProvidersPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409(702) 942-1774(928) 486-3373PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Wood is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1447811120Provider TypeIndividualFull NameWood, KimberlyCredentialCPC - INTERNGenderFemaleSole ProprietorNoEnumeration Date6/24/2019Last Updated11/30/2021Contact InformationPractice LocationPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(702) 942-1774FaxUnlisted FaxMailing LocationMailing Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(928) 486-3373FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI661Nevada