Individual
KATELYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6800
(479) 725-6582
Mailing address
PO BOX 959794, SAINT LOUIS, MO 63195-9794
(501) 364-1100
(501) 978-6436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148802
AR
Other
Enumeration date
05/28/2024
Last updated
09/19/2025
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