Wilson, Kathleen Rose

Wilson, Kathleen Rose is an sole proprietor health care provider with primary practice located at 703 Hill Country Dr Suite 302, Kerrville TX 78028-6162. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Wilson, Kathleen Rose can be contacted via phone (830) 792-1132.

Contact Information

Primary practice address
703 Hill Country Dr Suite 302 Kerrville TX 78028-6162
Phone: (830) 792-1132
Fax: (830) 792-7747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L8230 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X L8230 Texas

Profile Details

NPI number 1003884933
LBN Legal business name Wilson, Kathleen Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Oct 17th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003884933 NPPES
Texas Other 0084575 BLUE CROSS BLUE LINK #
Texas MEDICAID 1702987-01 BLUE CROSS BLUE LINK #
Texas Other 8K7450 BLUE CROSS BLUE LINK #

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