# KATHRYN A. S. WILSON DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184735730
- **Authorized official:** KATHRYN A. WILSON DO (OWNER)
- **Authorized official phone:** (937) 748-9051

## Contact information

- **Practice address:** 32 S RICHARDS RUN, SPRINGBORO, OH 45066-8003
- **Practice address phone:** (937) 748-9051
- **Practice address fax:** (937) 748-9054
- **Mailing address:** 70 SOUTHFIELD CT, SPRINGBORO, OH 45066-9268
- **Mailing address phone:** (800) 357-5728
- **Mailing address fax:** (937) 291-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/22/2008