Wilson, Kathleen S

Wilson, Kathleen S is an individual health care provider with primary practice located at 6000 Harry Hines Blvd Hamon Bldg, Room Na2 508A, Dallas TX 75390-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, which is considered as her primary health care specialty. Wilson, Kathleen S can be contacted via phone (214) 648-1620.

Contact Information

Primary practice address
6000 Harry Hines Blvd Hamon Bldg, Room Na2 508A Dallas TX 75390-0001
Phone: (214) 648-1620
Fax: (214) 648-4080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X J2416 Texas

Profile Details

NPI number 1184711582
LBN Legal business name Wilson, Kathleen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 7th, 2009 - 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 1184711582 NPPES
Texas MEDICAID 110712003

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