# MS. KIMBERLEY ALEXANDRIA WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033432893
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 30305333 | NY | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 42420977 | NY | — |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010