Individual
DR. KATHLEEN B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 E 3900 SOUTH, SUITE 1200, SALT LAKE CITY, UT 84124
(801) 261-9651
(801) 261-9656
Mailing address
1160 EAST 3900 SOUTH, SUITE 1200, SALT LAKE CITY, UT 84124
(801) 261-9651
(801) 261-9656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5406394-1205
UT
Other
Enumeration date
04/04/2006
Last updated
01/14/2010
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