Individual
KATHLEEN ANN WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NOT APPLICABLE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000856
RAILROAD MEDICARE
MI
01
—
721255
CDR
MI
Enumeration date
01/08/2007
Last updated
12/07/2009
Update your record
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