| Kathleen Wilson Md Pa | |
|
24810 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-1973 | |
| (239) 495-0439 | |
| (239) 495-2688 |
| Full Name | Kathleen Wilson Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 24810 Burnt Pine Dr, Bonita Springs, Florida |
| Authorized Official Name and Position | Kathleen W Wilson (OWNER) |
| Authorized Official Contact | 2395370276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Wilson Md Pa 24600 S Tamiami Trl Suite 212 Box# 308 Bonita Springs FL 34134-7022 Ph: (239) 495-0439 | Kathleen Wilson Md Pa 24810 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-1973 Ph: (239) 495-0439 |
| NPI Number | 1518274455 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518274455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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