Physician Compare National (NPI:1629268255)

HEALTHCARE PROVIDER: KATE A KUHLMAN-WOOD MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629268255
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264652395
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141013000743
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KUHLMAN-WOOD
	Individual professional last name
Provider First Name	KATE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1875 N LAKEWOOD DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	COEUR D ALENE
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	838144928
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	130066
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KOOTENAI HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	131314
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SHOSHONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y