Individual provider · Type 1 NPI

Kathleen Wilson, PA

Surgical Physician Assistant · Biddeford, ME

NPI number 1699882373 Active

Practice location

9 Healthcare Dr Ste 204
Biddeford, ME 04005-9450

Mailing address

315 S Manning Blvd
Albany, NY 12208-1707

Other practice locations

  • 315 S Manning Blvd, Albany, NY 12208-1707 · (518) 525-1693

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1433 (ME)
Surgical Physician Assistant 363AS0400X0098561 (NY)
Surgical Physician Assistant Primary 363AS0400XPA1433 (ME)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1699882373

Kathleen Wilson, PA's National Provider Identifier is 1699882373, issued on Aug 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Biddeford, ME. The record was last updated on Apr 1, 2019.