Individual
KAITLIN MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4748 OYSTER REEF RUN, WILMINGTON, NC 28405-6306
(336) 671-0483
Mailing address
4748 OYSTER REEF RUN, WILMINGTON, NC 28405-6306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12462
NC
Other
Enumeration date
07/07/2022
Last updated
08/11/2025
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