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Individual

KRISTY L WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
800 GARFIELD AVE # SDU, PARKERSBURG, WV 26101-5340
(304) 424-2748
Mailing address
455 WILSON LN, WAVERLY, WV 26184-7172
(304) 917-5940

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-161665
WV

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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