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

KATHLEEN WILSON, PA

Active Sole Proprietor

Surgical Physician Assistant · BIDDEFORD, ME

Registration Details

NPI Number
1699882373
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2006 (19.675930157171 yrs)
Last Updated
Apr 1, 2019
Licenses
PA1433 (ME)
0098561 (NY)
PA1433 (ME)
Sole Proprietor
Yes

Practice Information

Address
9 HEALTHCARE DR STE 204
BIDDEFORD, ME, 040059450
Browse ME providers · Browse ZIP 04005
Phone
2072842630
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BIDDEFORD, ME

Name Credential NPI
LISA D DARBY-OBAR PA-C 1568418788
BRENT A ALBRIGHT PA 1538231725
SUZANNE BAGIN BOHLMANN PA-C 1881852150
ERIC N SMITH PA 1447547864
ZORICA BAJIC PA-C 1083043194
MS. RHYS CAITLIN HACKFORD-SILVA PA-C 1285097436
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.