Individual
MRS. KRISTIN NOELLE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1760 N WOODLAND AVE, FAYETTEVILLE, AR 72703-2549
(479) 443-4420
Mailing address
3525 HAMM LN, SPRINGDALE, AR 72762-0765
(479) 756-0051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR 1316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U124
ARBCBS
AR
01
—
NBCOT 1024062
NAATIONAL O.T. PROVIDER #
—
01
—
OTR 1316
STATE LICENSE #
AR
Enumeration date
05/01/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us