Wilde, Kathlyn Valleau

Wilde, Kathlyn Valleau is an individual health care provider with primary practice located at 33 Mollison Way , Lewiston ME 04240-5805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wilde, Kathlyn Valleau can be contacted via phone (207) 784-5784.

Contact Information

Primary practice address
33 Mollison Way Lewiston ME 04240-5805
Phone: (207) 784-5784
Fax: (207) 783-9268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101261046 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD25564 Maine

Profile Details

NPI number 1164683967
LBN Legal business name Wilde, Kathlyn Valleau
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Feb 5th, 2024 - about 2 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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