Wilson, Kristin Noelle

Wilson, Kristin Noelle is an individual health care provider with primary practice located at 1760 N Woodland Ave , Fayetteville AR 72703-2549. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilson, Kristin Noelle can be contacted via phone (479) 443-4420.

Contact Information

Primary practice address
1760 N Woodland Ave Fayetteville AR 72703-2549
Phone: (479) 443-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OTR 1316 Arkansas

Profile Details

NPI number 1033177159
LBN Legal business name Wilson, Kristin Noelle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 9th, 2007 - about 17 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 1033177159 NPPES
Arkansas Other OTR 1316 STATE LICENSE #
Arkansas Other 5U124 STATE LICENSE #
Arkansas Other NBCOT 1024062 STATE LICENSE #

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