Individual
DR. KATHLYN VALLEAU WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5784
(207) 783-9268
Mailing address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5784
(207) 783-9268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101261046
VA
208000000X
Pediatrics Physician
Primary
MD25564
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2008
Last updated
02/05/2024
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