Individual
KAITLYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1133 COLLEGE AVE STE E112, MANHATTAN, KS 66502-2857
(785) 320-5725
Mailing address
1133 COLLEGE AVE STE E112, MANHATTAN, KS 66502-2857
(785) 320-5725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13147905072
KS
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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