Individual
KATHIRENE ANN WILCOXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
721 W 13TH ST, SUITE 321, JASPER, IN 47546-1855
(812) 996-7918
(812) 996-1644
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-1088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01075220
IN
Other
Enumeration date
03/23/2012
Last updated
11/18/2015
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