Individual
DR. KIMBERLEE VAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 N PRIEST DR # 109, TEMPE, AZ 85288-1213
(702) 589-4871
(702) 589-4872
Mailing address
1500 N PRIEST DR # 109, TEMPE, AZ 85288-1213
(702) 589-4871
(702) 589-4872
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
5840
AZ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
5840
OK
2084P0800X
Psychiatry Physician
Primary
5840
AZ
2084P0800X
Psychiatry Physician
Primary
5840
OK
Other
Enumeration date
07/17/2011
Last updated
02/05/2026
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