Wilde, Kathlyn Valleau
Wilde, Kathlyn Valleau is an individual health care provider with primary practice located at 33 Mollison Way , Lewiston ME 04240-5805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wilde, Kathlyn Valleau can be contacted via phone (207) 784-5784.Contact Information
Primary practice address
33 Mollison Way
Lewiston ME 04240-5805
Phone: (207) 784-5784
Fax: (207) 783-9268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101261046 | Virginia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD25564 | Maine |
Profile Details
NPI number | 1164683967 |
---|---|
LBN Legal business name | Wilde, Kathlyn Valleau |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2008 |
Last updated | Feb 5th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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