Individual
KAITLYN RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 POPLAR RD, LINCOLN, NE 68506-4651
(402) 805-0928
Mailing address
7410 POPLAR RD, LINCOLN, NE 68506-4651
(402) 805-0928
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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