Individual
KAREN B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7433
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29535
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005495
KAISER-COMMERCIAL NUMBER
—
05
—
01295351
—
CO
Enumeration date
02/16/2007
Last updated
06/13/2011
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