Wilson, Kathy Lynn

Wilson, Kathy Lynn is an individual health care provider with primary practice located at 402 S Silver Springs Rd , Cape Girardeau MO 63703-7536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilson, Kathy Lynn can be contacted via phone (573) 334-1100.

Contact Information

Primary practice address
402 S Silver Springs Rd Cape Girardeau MO 63703-7536
Phone: (573) 334-1100
Fax: (573) 651-4345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023047220 Missouri

Profile Details

NPI number 1750158507
LBN Legal business name Wilson, Kathy Lynn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2023
Last updated Sep 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750158507 NPPES
Missouri MEDICAID 420136965

Popular Providers