Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN NICOLE WILMES
ActiveKRISTIN NICOLE WILMES is a Pediatrics healthcare provider located in MASCOUTAH, Illinois. NPI 1265706337 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MASCOUTAH, IL
Registration Details
- NPI Number
- 1265706337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2012 (14.469245706443 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
2004020402 (MO)2004020402 (MO)
Practice Information
- Address
-
800 TANZANITE LNMASCOUTAH, IL, 622582953Browse IL providers · Browse ZIP 62258
- Phone
- 6185670336
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
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.