| Kathryn A. S. Wilson Do Llc | |
|
32 S Richards Run Springboro OH 45066-8003 | |
| (937) 748-9051 | |
| (937) 748-9054 |
| Full Name | Kathryn A. S. Wilson Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 32 S Richards Run, Springboro, Ohio |
| Authorized Official Name and Position | Kathryn A. Wilson (OWNER) |
| Authorized Official Contact | 9377489051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A. S. Wilson Do Llc 70 Southfield Ct Springboro OH 45066-9268 Ph: (800) 357-5728 | Kathryn A. S. Wilson Do Llc 32 S Richards Run Springboro OH 45066-8003 Ph: (937) 748-9051 |
| NPI Number | 1184735730 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184735730 | NPI | - | NPPES |
| 2346572 | Medicaid | OH | |
| CK6330 | Other | OH | RAILROAD MEDICARE |
| 150287 | Other | OH | UNITED MINE WORKERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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