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Individual
KATELYN MICHELLE WILSON
Active
Individual
KATELYN MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
459403
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
0037888
OH
Other
Enumeration date
10/11/2024
Last updated
03/19/2026
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