Individual
KATHLEEN JOANNE WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 628-9794
(276) 628-1260
Mailing address
PO BOX 1476, ABINGDON, VA 24212-1476
(276) 628-9794
(276) 628-1260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101251512
VA
207L00000X
Anesthesiology Physician
MD.29730
AL
Other
Enumeration date
04/07/2008
Last updated
02/07/2013
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