Individual
DR. KIMILEE YVONNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701-3803
(304) 525-3334
(304) 525-3338
Mailing address
12865 STATE ROUTE 775, WILLOW WOOD, OH 45696-9065
(740) 643-2284
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1046
WV
103T00000X
Psychologist
1542
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014579
—
WV
Enumeration date
06/04/2007
Last updated
11/12/2020
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