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Individual

MRS. KATHRYN ANN WILHELM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1123 N 9TH ST, BEATRICE, NE 68310-2041
(402) 228-3386
(402) 228-2004
Mailing address
1123 N 9TH ST, BEATRICE, NE 68310
(402) 228-3386
(402) 228-2004

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171MOOOOOX
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47052851580NE
NE
05
47052851585NE
NE
Enumeration date
02/06/2009
Last updated
02/06/2009
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