Individual
KAYLYN DEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1548 N BOISE AVE, LOVELAND, CO 80538
(970) 669-9245
Mailing address
2114 GARO CT, LOVELAND, CO 80538-3437
(970) 691-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN.0997113-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0997113-NP
APN
CO
01
—
RXN.0106139-NP
RXN
CO
Enumeration date
11/11/2021
Last updated
02/09/2023
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