Wilson, Katelyn Jeanne
Wilson, Katelyn Jeanne is an sole proprietor health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Wilson, Katelyn Jeanne can be contacted via phone (505) 846-3305.Contact Information
Primary practice address
1501 San Pedro Dr Se
Albuquerque NM 87108-5153
Phone: (505) 846-3305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1619430907 |
|---|---|
| LBN Legal business name | Wilson, Katelyn Jeanne |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Apr 12th, 2019 - about 6 years 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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