Wilson, Kylan

Wilson, Kylan is an individual health care provider with primary practice located at 110 E Twohig Ave , San Angelo TX 76903-5916. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Wilson, Kylan can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
110 E Twohig Ave San Angelo TX 76903-5916
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 4075 Texas

Profile Details

NPI number 1174934186
LBN Legal business name Wilson, Kylan
Credentials CERTIFIED PEDORTHIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated May 13th, 2014 - about 12 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 1174934186 NPPES
Texas Other CPED4075 CERTIFICATION

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