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Individual

KATHLEEN WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 HAWKINS DR, CHILD AND ADOLESCENT PSYCHIATRY CLINIC, IOWA CITY, IA 52242-1009
(319) 356-1188
Mailing address
200 HAWKINS DR, CHILD AND ADOLESCENT PSYCHIATRY OUTPATIENT CLINIC, IOWA CITY, IA 52242-1009
(319) 356-1188
(319) 384-8843

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C083996
IA
363LF0000X
Family Nurse Practitioner
C083996
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C083996
IA

Other

Enumeration date
03/09/2006
Last updated
09/26/2016
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