Wilson, Kathi Ann
Wilson, Kathi Ann is an individual health care provider with primary practice located at 1625 Diamond Ave Ne , Grand Rapids MI 49505-4887. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wilson, Kathi Ann can be contacted via phone (616) 454-1482.Contact Information
Primary practice address
1625 Diamond Ave Ne
Grand Rapids MI 49505-4887
Phone: (616) 454-1482
Fax: (616) 454-4422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17948 | Michigan |
Profile Details
| NPI number | 1144291477 |
|---|---|
| LBN Legal business name | Wilson, Kathi Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 2nd, 2019 - about 5 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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