Individual
MS. KATHRYN ANN WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1153 CENTRE ST, SUITE 31, BOSTON, MA 02130-3446
(617) 522-3100
Mailing address
1153 CENTRE ST, SUITE 31, BOSTON, MA 02130-3446
(617) 522-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
274122
MA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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