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Kimberly Frances Wilson

NPI Registration Record

Provider / OrganizationNPIDate Certified
KIMBERLY FRANCES WILSON14074654202020-07-26
Entity TypeIndividual
Provider NameMrs. Kimberly Frances Wilson CD-L,PIC
Practice Office Address6911 DEORSAM LOOP
KILLEEN, TX US
Practice Office Telephone5202300287
Mailing AddressPO BOX 10964
KILLEEN, TX 765470964 US
Business Telephone5202300287
HPT Codes
CodeLicense NoState
374J00000X PRIMARY
OPI Codes

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