Individual
KRISTIN NICOLE WILMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 TANZANITE LN, MASCOUTAH, IL 62258-2953
(618) 567-0336
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(618) 567-0336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004020402
MO
363LP0200X
Pediatric Nurse Practitioner
2004020402
MO
Other
Enumeration date
03/06/2012
Last updated
11/10/2020
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