Individual
DR. KYLE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
136 BREAKWATER WAY, VACAVILLE, CA 95688-0106
(707) 685-4686
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6700
CA
Other
Enumeration date
07/07/2014
Last updated
12/17/2021
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