Individual
MRS. KIMBERLY DOUTRICH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-8144
(717) 544-8140
Mailing address
1015 CROFFT DR, LANCASTER, PA 17601-4889
(717) 538-3066
(717) 544-8140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011472
PA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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