Individual
KAITLYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2520 ROBERT JONES WAY FL 2, KALAMAZOO, MI 49009-1904
(269) 372-7466
(269) 492-0660
Mailing address
6223 SHAWNEE CIR, SCOTTS, MI 49088-9766
(517) 581-3602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704333304
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942174453
—
MI
Enumeration date
09/30/2025
Last updated
07/15/2026
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