Individual
KATHLEEN ROSE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 HILL COUNTRY DR, SUITE 302, KERRVILLE, TX 78028-6162
(830) 792-1132
(830) 792-7747
Mailing address
703 HILL COUNTRY DR, SUITE 302, KERRVILLE, TX 78028-6162
(830) 792-1132
(830) 792-7747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L8230
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
L8230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084575
BLUE CROSS BLUE LINK #
TX
05
—
1702987-01
—
TX
01
—
8K7450
BLUE CROSS PROVIDER #
TX
Enumeration date
03/08/2006
Last updated
04/07/2026
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