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

KELLY DIANE WILSON, MS, ATC

Active

KELLY DIANE WILSON, MS, ATC is a Student (Health Education/Training) healthcare provider located in COSTA MESA, California. NPI 1801349162 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · COSTA MESA, CA

Registration Details

NPI Number
1801349162
Provider Type
Individual
Gender
Female
NPI Issued
Aug 3, 2016 (10.003910340305 yrs)
Last Updated
Aug 3, 2016

Practice Information

Address
55 FAIR DR
COSTA MESA, CA, 926266520
Browse CA providers · Browse ZIP 92626
Phone
7146196618
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in COSTA MESA, CA

Name Credential NPI
ALEX PERKOWSKI 1780898890
DR. FADY NABIL ELIAS M.D. 1063650844
DR. FARSHID KAZI MD 1013145200
DR. JAIME SPRAY PH.D. 1669760807
DIANNE DAZA 1932697323
RAMIRO CASTELAN 1427697911
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.