Individual
MS. KATHRYN MARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1275 SADLER WAY, STE 202, FAIRBANKS, AK 99701
(907) 452-4101
Mailing address
PO BOX 82144, FAIRBANKS, AK 99708-2144
(907) 479-7017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34
AK
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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