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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLAN WILSON, CERTIFIED PEDORTHIST

Active

KYLAN WILSON, CERTIFIED PEDORTHIST is a Orthotist healthcare provider located in SAN ANGELO, Texas. NPI 1174934186 is currently active in the NPPES registry. Verify at CMS.

Orthotist · SAN ANGELO, TX

Registration Details

NPI Number
1174934186
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2014 (12.275059378639 yrs)
Last Updated
May 13, 2014
License
4075 (TX)

Practice Information

Address
110 E TWOHIG AVE
SAN ANGELO, TX, 769035916
Browse TX providers · Browse ZIP 76903
Phone
3256581511
Fax
3254812166
Primary Specialty
Orthotist
222Z00000X

Other Orthotist Providers in SAN ANGELO, TX

Name Credential NPI
MRS. JANICE M MORRIS CO 1477620185
MR. DAVID ALAN LIGHT CPO, LPO 1811065444
WHITNEY BRANDON CO/LPO 1144723560
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.