Individual
MS. KASIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 UNIVERSITY AVE, WICHITA FALLS, TX 76308-1425
(940) 642-8317
(855) 822-0323
Mailing address
3509 UNIVERSITY AVE, WICHITA FALLS, TX 76308-1425
(940) 642-8317
(855) 822-0323
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
12090011
TX
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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