Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN ROSE WILSON, MD
Active Sole ProprietorKATHLEEN ROSE WILSON, MD is a Sports Medicine (IM) healthcare provider located in KERRVILLE, Texas. NPI 1003884933 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · KERRVILLE, TX
Registration Details
- NPI Number
- 1003884933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2006 (20.463586090188 yrs)
- Last Updated
- Oct 17, 2022
- Licenses
-
L8230 (TX)L8230 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 HILL COUNTRY DRSUITE 302KERRVILLE, TX, 780286162Browse TX providers · Browse ZIP 78028
- Phone
- 8307921132
- Fax
- 8307927747
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.