Wilson, Kathleen White

Wilson, Kathleen White is an individual health care provider with primary practice located at 75 Claremont St Ste A , Kalispell MT 59901-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Kathleen White can be contacted via phone (406) 752-8282.

Contact Information

Primary practice address
75 Claremont St Ste A Kalispell MT 59901-3500
Phone: (406) 752-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 266 Montana

Profile Details

NPI number 1578518692
LBN Legal business name Wilson, Kathleen White
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 27th, 2023 - about last year

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 1578518692 NPPES
Montana Other 95503 BLUE CROSS
Montana MEDICAID 432610 BLUE CROSS

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