Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM JANET WILSON, MD
ActiveAnatomic Pathology & Clinical Pathology · LEWISTON, ID
Registration Details
- NPI Number
- 1700863024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2005 (20.322460349556 yrs)
- Last Updated
- Oct 5, 2007
- Licenses
-
M-6746 (ID)MD00032548 (WA)
Practice Information
- Address
-
415 6TH STLEWISTON, ID, 835012431Browse ID providers · Browse ZIP 83501
- Phone
- 2087460516
- Fax
- 2087464989
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ALAN CLIFTON PETERSON | M.D. | 1992751325 |
| DR. REBECCA L. FULTON | MD | 1093996365 |
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.