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Individual

KATHRYN T. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3810 S HIGHWAY 27 STE 1, SOMERSET, KY 42501-3073
(606) 678-4551
(606) 678-0972
Mailing address
PO BOX 306, FERGUSON, KY 42533-0306
(606) 492-2211
(606) 676-0873

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1996DT
KY

Other

Enumeration date
07/31/2015
Last updated
12/04/2019
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