Individual
KRISTYN ANN WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ATC, SCAT
Contact information
Practice address
925 ONE LANDON LOOP, CONWAY, SC 29526
(843) 349-4038
Mailing address
632 KENT LN APT 57B, MYRTLE BEACH, SC 29579-4148
(586) 484-2323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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