Individual
KAITLIN WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041423928
IL
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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