Provider Demographics
NPI:1740092360
Name:WOOD, KASEY D (LPN/LVN)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:D
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPN/LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5675 GRASSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-3703
Mailing Address - Country:US
Mailing Address - Phone:775-544-2106
Mailing Address - Fax:
Practice Address - Street 1:500 DAMONTE RANCH PKWY STE 929
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5911
Practice Address - Country:US
Practice Address - Phone:775-828-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLPN16543164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse